DOVE HEALTHCARE- BLOOMER
NPI 1245620475
Skilled Nursing Facility in Bloomer, WI

Active since January 26, 2015CLIA 52D2103220 · Waiver
1501 THOMPSON ST, BLOOMER, WI 54724(715) 568-9770 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dove Healthcare- Bloomer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOVE HEALTHCARE- BLOOMER (NPI 1245620475) is a healthcare organization registered as a skilled nursing facility in Bloomer, Wisconsin and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Tommy Davidson, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1245620475
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLOOMER HEALTHCARE, LLC
Location Address1501 THOMPSON STBloomer, WI 54724-1257
Mailing Address7429 Royal Harbour CirOoltewah, TN 37363-9151 · (423) 227-5957
Organization SubpartNo
Authorized OfficialTommy DavidsonChief Manager · (423) 227-5957
Enumeration DateJanuary 26, 2015
Last NPPES UpdateMay 9, 2016
NPI 1245620475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1501 THOMPSON ST, Bloomer, WI 54724

Other Names 1

Doing Business AsDove Healthcare- Bloomer

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2103220

Bloomer Healthcare LLC D/B/A Dove Healthcare - Bloomer · Bloomer, WI
Active · expires Sep 30, 2027
CLIA Number52D2103220
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJeni L. Greenwell
Laboratory Phone(715) 568-9770
Laboratory LocationBloomer Healthcare LLC D/B/A Dove Healthcare - Bloomer2217 Duncan Road, Bloomer, WI 54724
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1501 THOMPSON ST
BLOOMER, WI 54724
Physical Therapist
1501 THOMPSON ST
BLOOMER, WI 54724
Physician Assistant
1501 THOMPSON ST
BLOOMER, WI 54724
Speech-Language Pathologist
1501 THOMPSON ST
BLOOMER, WI 54724
Physical Therapist
1501 THOMPSON ST
BLOOMER, WI 54724
Physical Therapist
1501 THOMPSON ST
BLOOMER, WI 54724
Speech-Language Pathologist
1501 THOMPSON ST
BLOOMER, WI 54724
Speech-Language Pathologist
1501 THOMPSON ST
BLOOMER, WI 54724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomer Healthcare, LLC's NPI number?

The NPI number for Bloomer Healthcare, LLC is 1245620475. It was assigned to this organization in the NPPES registry on January 26, 2015. The provider is doing business as Dove Healthcare- Bloomer.

Where is Bloomer Healthcare, LLC located?

Bloomer Healthcare, LLC is located at 1501 Thompson St, Bloomer, WI 54724. The listed phone number is (715) 568-9770.

What is Bloomer Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bloomer Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2103220) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloomer Healthcare, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Bloomer Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloomer Healthcare, LLC was last updated on May 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.