1840 Priddy Street Operating Company, LLC
NPI 1790141158ActiveOrganization· Skilled Nursing Facility· Bloomer, WI
Skilled Nursing Facility in Bloomer, Wisconsin, registered in NPPES in January 2016. The authorized official on file is Kevin P. Breslin, Manager.
Overview
| NPI | 1790141158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2016 |
| Last updated in NPPES | Apr 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2807 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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