Hetzel Care Center, Inc
Hetzel Care Center, Inc is a healthcare organization registered as Skilled Nursing Facility in Bloomer, WI, holding Type 2 (organization) NPI 1104813005 since 2005. The authorized official on file is Gordon Hetzel, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104813005 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hetzel Care Center, Inc |
| Practice address | 1840 PRIDDY ST, Bloomer, WI, 54724 |
| Phone | 7155682503 |
| Fax | 7155682518 |
| Enumeration date | 2005-10-05 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Gordon Hetzel |
|---|---|
| Title | President |
| Phone | 7155682503 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 2807 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20162200 | Medicaid | WI | — |
Copy-ready billing details
Provider: Hetzel Care Center, Inc NPI: 1104813005 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1840 PRIDDY ST, Bloomer, WI, 54724
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972751758 | Hetzel Care Center Inc | Organization | Assisted Living Facility | Bloomer, WI |
| 1770887309 | Hetzel Care Nursing & Rehabilitation Center LLC | Organization | Skilled Nursing Facility | Bloomer, WI |
| 1225456783 | Phcn, LLC | Organization | Skilled Nursing Facility | Bloomer, WI |
| 1790141158 | 1840 Priddy Street Operating Company, LLC | Organization | Skilled Nursing Facility | Bloomer, WI |
| 1154988582 | Mackenzie Rinehart | Individual | Physical Therapy Assistant | Bloomer, WI |
| 1346890076 | Bloomer Nursing and Rehab LLC | Organization | Skilled Nursing Facility | Bloomer, WI |
| 1902521412 | Anna Ziemendorf | Individual | Physical Therapy Assistant | Bloomer, WI |
Verify this record
Cross-check NPI 1104813005 against the authoritative CMS record: view Hetzel Care Center, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Hetzel Care Center, Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.