EAGLETON HOME FDD
NPI 1790771368
Intermediate Care Facility, Intellectual Disabilities in Bloomer, WI

Active since September 20, 2005
14135 150TH AVE, BLOOMER, WI 54724(715) 288-6311(715) 288-6312 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagleton Home Fdd NPPES

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

EAGLETON HOME FDD (NPI 1790771368) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Bloomer, Wisconsin and active in the NPI registry since September 2005. The organization lists Dennis L Heyde, President, as its authorized official.

NPPES Registry Identity

NPI1790771368
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHEYDE HEALTH SYSTEM, INC
Location Address14135 150TH AVEBloomer, WI 54724-4410
Mailing Address345 Frenette DrChippewa Falls, WI 54729-3372
Fax(715) 288-6312
Organization SubpartNo
Authorized OfficialDennis L HeydePresident · (715) 726-9094
Enumeration DateSeptember 20, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1790771368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in WI · 2970
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

14135 150TH AVE, Bloomer, WI 54724

Other Names 1

Doing Business AsEagleton Home Fdd

Other Identifiers 1

Medicaid20163600WI

Other Providers at the Same Location NPPES

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

Assisted Living Facility
14135 150TH AVE
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 Heyde Health System, Inc's NPI number?

The NPI number for Heyde Health System, Inc is 1790771368. It was assigned to this organization in the NPPES registry on September 20, 2005. The provider is doing business as Eagleton Home Fdd.

Where is Heyde Health System, Inc located?

Heyde Health System, Inc is located at 14135 150th Ave, Bloomer, WI 54724. The listed phone number is (715) 288-6311.

What is Heyde Health System, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Heyde Health System, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.