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1840 Priddy Street Operating Company, LLC

Skilled Nursing Facility in Bloomer, WI · enumerated 2016 · authorized official Kevin Breslin, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790141158

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Registry record

Entity type Organization (Type 2)
Legal business name 1840 Priddy Street Operating Company, LLC
Other name <Unavail>
Practice address 1840 Priddy St, Bloomer, WI, 54724
Phone (715) 568-2503
Fax (715) 568-2518
Enumeration date Jan 14, 2016
Last updated in NPPES Apr 5, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 2807 (WI) Primary

Authorized official

Name Kevin Breslin
Title Manager
Phone (973) 339-8892

Other identifiers

Identifier Type State Issuer
1790141158 Medicaid WI -

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.

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Frequently asked questions

Where is 1840 Priddy Street Operating Company, LLC located?
The practice location on file with NPPES is in Bloomer, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-05.