Eagleton Home Fdd

LBN: Heyde Health System, Inc
Eagleton Home Fdd is an health care organization with primary practice located at 14135 150Th Ave , Bloomer WI 54724-4410. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Heyde Health System, Inc can be contacted via phone (715) 288-6311, or through Heyde, Dennis L via phone (715) 726-9094.

Contact Information

Primary practice address
14135 150Th Ave Bloomer WI 54724-4410
Phone: (715) 288-6311
Fax: (715) 288-6312
Website:
Map and Directions
Authorized official contact:
Name: Heyde, Dennis L
Phone: (715) 726-9094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2970 Wisconsin

Profile Details

NPI number 1790771368
LBN Legal business name Heyde Health System, Inc
DBA Doing business as Eagleton Home Fdd
Authorized official Heyde, Dennis L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790771368 NPPES
Wisconsin MEDICAID 20163600

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