HEADWATERS INC. NPI 1649547183

NPI Information

NPI: 1649547183
Provider Name: HEADWATERS, INC.
Classification: Respite Care - 385HR2060X
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Entity Type: Organization
Address: 1441 E TIMBER DR
RHINELANDER, WI
ZIP 54501
Phone: (715) 369-1337

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NPI Details

HEADWATERS, INC. is a respite care and mental retardation and/or developmental disabilities respite care in Rhinelander, WI. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. HEADWATERS, INC. NPI is 1649547183. The provider is registered as an organization entity type.

The provider's business location address is:

1441 E TIMBER DR
RHINELANDER, WI
ZIP 54501-887
Phone: (715) 369-1337
Fax: (715) 369-1793

The provider's authorized official is Mary Hardtke .
The authorized official title is Director and has the following contact phone number (715) 369-1337.

The enumeration date for this NPI number is 11/29/2011 and was last updated on 11/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	252Y00000X	Early Intervention Provider Agency		No
4	347B00000X	Bus		No
5	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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