DOVE HEALTHCARE- BLOOMER
NPI 1245620475
Skilled Nursing Facility in Bloomer, WI
NPI Status: Active since January 26, 2015
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 52D2103220
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 09-30-2025
About DOVE HEALTHCARE- BLOOMER
This page provides the complete NPI Profile along with additional information for Dove Healthcare- Bloomer, a provider established in Bloomer, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1245620475 assigned on January 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Dove Healthcare- Bloomer. The authorized official of this NPI record is Mr. Tommy Davidson (Chief Manager)
- NPI
- 1245620475
- Provider Legal Name
- BLOOMER HEALTHCARE, LLC
- Other Organization Name
- DOVE HEALTHCARE- BLOOMER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1501 THOMPSON ST BLOOMER, WI 54724
- Location Phone
- (715) 568-9770
- Mailing Address
- 7429 ROYAL HARBOUR CIR OOLTEWAH, TN 37363
- Mailing Phone
- (423) 227-5957
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2015
- Last Update Date
- 05-09-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Prevea360 Bronze HSA - HMO
- Prevea360 Bronze Share - HMO
- Prevea360 Catastrophic - HMO
- Prevea360 Expanded Bronze Standard - HMO
- Prevea360 Gold HSA - HMO
- Prevea360 Gold Share - HMO
- Prevea360 Gold Standard - HMO
- Prevea360 Silver $0 Copay PCP Visits - HMO
- Prevea360 Silver Share - HMO
- Prevea360 Silver Standard - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2103220
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- October 01, 2023
- Certificate Expiration Date
- September 30, 2025
- Laboratory Director
- JENI L. GREENWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dove Healthcare- Bloomer to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DOVE HEALTHCARE- BLOOMER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 6 | 2 | 0 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 12 | 2 | 0 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 2 + 2 + 0 + 4 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1245620475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700877396 | BRUCE A CARLSON MD Individual | Family Medicine | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1477693943 | MRS. BRENDA MARY MEINEN OTR Individual | Occupational Therapist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1922130137 | MR. LEE F. MORISSETTE PA-C Individual | Physician Assistant | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1275701062 | STEVEN D KLUND CRNA Individual | Nurse Practitioner | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1548796444 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. Organization | Clinic/Center (Multi-Specialty) | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 566-2000 |
| 1700837812 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. Organization | General Acute Care Hospital (Critical Access) | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5270 |
| 1639109176 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. Organization | Medicare Defined Swing Bed Unit | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1831245562 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. Organization | Non-Pharmacy Dispensing Site | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1497082713 | JENNIFER L CHIVERS SLP Individual | Speech-Language Pathologist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1184007403 | AUTUMN SCHLICHTING Individual | Speech-Language Pathologist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1215100730 | MRS. DARCY LYNETTE VRIEZE CCC-SLP Individual | Speech-Language Pathologist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1386121598 | DR. BENJAMIN MICHAEL HIERLMEIER PHARMD Individual | Pharmacist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1134630635 | CHRISTOPHER RYAN THEWIS PT Individual | Physical Therapist | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1427058122 | MR. RONALD J REIMER PA-C Individual | Physician Assistant | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1295725703 | PHILLIP J SKAAR MD Individual | Family Medicine | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1013996107 | KRISTEN RIBBENS BRUXVOORT MD Individual | Family Medicine | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1336117399 | DR. KAREN A. STORLIE N.P. Individual | Nurse Practitioner | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 568-2000 |
| 1649201062 | SUSAN M BLOCK RD Individual | Dietitian, Registered | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1407847767 | MR. MICHAEL E SHIPMAN PA-C Individual | Physician Assistant | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 838-5222 |
| 1598299331 | BRANDY CLARICE ZIMMERMAN APNP Individual | Nurse Practitioner | 1501 THOMPSON ST BLOOMER, WI 54724 (715) 418-0620 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245620475, enumerated in the NPI registry as an "organization" on January 26, 2015
The provider is located at 1501 Thompson St Bloomer, Wi 54724 and the phone number is (715) 568-9770
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D2103220 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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