Extendicare Homes, Inc. in Hammond - Skilled Nursing Facility

Extendicare Homes, Inc. - NPI 1659444883

Extendicare Homes, Inc. is a Skilled Nursing Facility in Hammond, Wisconsin. Extendicare Homes, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Extendicare Homes, Inc. is 1659444883. The last update date is 2008-04-07.

Extendicare Homes, Inc.'s current location address is 425 Davis St, Hammond, Wisconsin. You can contact this provider via phone number 7157962218 and fax number 7157965286. The mailing address for Extendicare Homes, Inc. is 425 Davis St, Hammond, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Extendicare Homes, Inc.
Address 425 Davis St, Hammond, Wisconsin
Phone Number 7157962218
Fax Number 7157965286
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Maassen Jo Donna
Telephone Number 4149088119

NPI Number Detail

NPI Number 1659444883
Provider Enumeration Date 2006-11-16
Last Updated Date 2008-04-07

Provider Mailing Address Detail

Address 425 Davis St
City Hammond
State Wisconsin (WI)
Post Code 540159615
Phone Number 7157962218
Fax Number 7157965286

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20179200 WI --

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FAQs about Extendicare Homes, Inc.

What is the unique provider identifier assigned to Extendicare Homes, Inc.?

The Extendicare Homes, Inc. has been issued the NPI (National Provider Identifier) 1659444883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Extendicare Homes, Inc.?

The Extendicare Homes, Inc. is physically situated at 425 Davis St, in the city of Hammond, state of WI, with the postal code 540159615.

What is Extendicare Homes, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Extendicare Homes, Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659444883 to Extendicare Homes, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1659444883 to Extendicare Homes, Inc. on 2006-11-16.

When was the information related to Extendicare Homes, Inc. most recently updated or refreshed?

The details pertaining to the Extendicare Homes, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-07.

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