NPIMap

Organization Active NPI

Heyde Health System, Inc.

Doing business as Mount Washington Residence

  • Assisted Living Facility
  • Eau Claire, WI
National Provider Identifier
1275529844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
510142 Issued in WI
Legal business name
HEYDE HEALTH SYSTEM, INC.
Doing business as
Mount Washington Residence
Practice address
1930 Cleveland St
Eau Claire, WI 54703-6003
Phone
(715) 834-3400
Fax
(715) 834-7271
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 510142 WI Primary

Addresses

Primary practice location

1930 Cleveland St
Eau Claire, WI 54703-6003

Mailing address

345 Frenette Dr
Chippewa Falls, WI 54729-3372

Other names 1

  • Mount Washington Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heyde Health System Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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": "1275529844",
    "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": "1930 CLEVELAND ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036003",
            "telephone_number": "715-834-3400",
            "fax_number": "715-834-7271"
        }
    ],
    "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "510142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Washington Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • 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.