Heyde Health System, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3211 Issued in WI

Legal business name

HEYDE HEALTH SYSTEM, INC

Doing business as

Family Heritage Care Center

Practice address

1311 Tyler St
Black River Falls, WI 54615-1564

Phone

(715) 284-4396

Fax

(715) 284-9580

NPI assigned

Sep 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dennis L Heyde

Title

President

Phone

(715) 726-9094

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Heritage Care Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003802661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 FRENETTE DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 TYLER ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151564",
            "telephone_number": "715-284-4396",
            "fax_number": "715-284-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDE HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEYDE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-726-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20183900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Heritage Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul E Helstad, D.P.M.
• Stephanie Anne Herman, M.S. CCC-SLP
• Steven Allen Herman, SACIT
• Elizabeth A Herzberg, D.D.S.
• Vera Ellen Heubel, R.N.
• Heyde Health System, Inc (Parkside Residence)
• Ho Chunk Nation (Ho-Chunk Behavioral Health Care Center)
• Ho Chunk Nation (Ho-Chunk Community Health Care Nursing Program)
• Ho-Chunk Health Care Center
• Ho-Chunk Nation (Ho-Chunk Health Care Retail Pharmacy)

• Skilled Nursing Facility in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.