Extendicare Homes, Inc.
Skilled Nursing Facility · Waupaca, WI
Practice location
1401 Churchill StWaupaca, WI 54981-2027
- Phone
- (715) 258-8131
- Fax
- (715) 258-0179
NPI record
- NPI
- 1780757872
- Entity type
- Organization (Type 2)
- Enumeration date
- November 16, 2006
- Last updated
- April 7, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
— | — |
Mailing address
111 W Michigan StMilwaukee, WI 53203-2903
- Phone
- (414) 908-8119
- Fax
- (414) 908-7105
Authorized official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
Other names
- Crystal River Nursing & Rehabilitation Center
About Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1401 Churchill St, Waupaca, WI 54981-2027. The NPI number 1780757872 was assigned on November 16, 2006 and the record was last updated on April 7, 2008.
The authorized official for this organization is Donna Jo Maassen, Director of Compliance.
Frequently asked questions
What is the NPI number of Extendicare Homes, Inc.?
The NPI number is 1780757872.
What is the phone number of Extendicare Homes, Inc.?
The phone number listed for the practice location is (715) 258-8131.
Where is Extendicare Homes, Inc. located?
1401 Churchill St, Waupaca, WI 54981-2027.
What is the taxonomy code for Extendicare Homes, Inc.?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Skilled Nursing Facility providers in Waupaca
- Prostep Rehabilitation1401 Churchill St
- Crossroads Care Center of Crystal River LLC1401 Churchill St
- Bethany Home Inc1226 Berlin St