Headwaters, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

HEADWATERS, INC.

Practice address

1441 E Timber Dr
Rhinelander, WI 54501-2887

Phone

(715) 369-1337

Fax

(715) 369-1793

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Mary Hardtke

Title

Director

Phone

(715) 369-1337

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1649547183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545010618",
            "telephone_number": "715-369-1337",
            "fax_number": "715-369-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012887",
            "telephone_number": "715-369-1337",
            "fax_number": "715-369-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HARDTKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-369-1337"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Counseling Services LLC
• Chris E Hartlep, CSAC - IDP/AT
• Catherine M Hauser
• Paula M Havisto, PHYSICIAN ASSISTANT
• Jessica L Hawkins, BS
• Health in Motion, LLC
• Healthquest Chiropractic and Rehabilitation
• Hearing Advantage, LLC
• Gina L. Heck, O.D.
• Jamie Hein, PSYD

• Child Intellectual and/or Developmental Disabilities Respite Care in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.