Bloomer Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLOOMER HEALTHCARE, LLC

Doing business as

Dove Healthcare- Bloomer

Practice address

1501 Thompson St
Bloomer, WI 54724-1257

Phone

(715) 568-9770

NPI assigned

Jan 26, 2015

Last updated

May 9, 2016By 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. Tommy Davidson

Title

Chief Manager

Phone

(423) 227-5957

Specialties & licenses 1

Addresses

Other names 1

• Dove Healthcare- Bloomer Doing business as

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1245620475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 ROYAL HARBOUR CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639151",
            "telephone_number": "423-227-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 THOMPSON ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241257",
            "telephone_number": "715-568-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-227-5957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare- Bloomer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbigail Blake, PT, DPT
• Susan M Block, RD
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• Bloomer Chiropractic LLC
• Bloomer Chiropractic Office, Inc.
• Bloomer Nursing and Rehab LLC (Meadowbrook at Bloomer)
• Bloomer Rehabilitation and Nursing Center LLC (Dove Healthcare - Bloomer)
• Bloomer School District
• Blue Diamond Family Dental SC
• Cynthia Bonk

• Skilled Nursing Facility in Bloomer, WI
• Providers in Bloomer, 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 May 9, 2016; 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.