Heyde Health System Oconto Falls LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2727 Issued in WI

Legal business name

HEYDE HEALTH SYSTEM OCONTO FALLS LLC

Practice address

100 E Highland Dr
Oconto Falls, WI 54154-1001

Phone

(920) 848-3272

Fax

(920) 848-2516

NPI assigned

Sep 19, 2005

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

• Sharpe Care Doing business as

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306831052",
    "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",
            "telephone_number": "715-726-9094",
            "fax_number": "715-723-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HIGHLAND DR",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541001",
            "telephone_number": "920-848-3272",
            "fax_number": "920-848-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDE HEALTH SYSTEM OCONTO FALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "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": "2727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20188600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharpe Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne B Haines, NP
• Katie Halverson
• Carla Jean Hedtke, B.S.,M.S.
• Heller Chiropractic, S.C.
• Fred Dana Heller, D.C.
• Kevin G Hibbett, M.D.
• Hockman & Associates LLC
• Justin Alan Howe, PT
• Abby Huntley, PHD, LPC, NCC
• Jeffrey Johnson

• Skilled Nursing Facility in Oconto Falls, WI
• Providers in Oconto 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.