Menomonee Falls Health Care Center

LBN: Extendicare Homes, Inc.
Menomonee Falls Health Care Center is an health care organization with primary practice located at N84W17049 Menomonee Ave , Menomonee Falls WI 53051-2701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Extendicare Homes, Inc. can be contacted via phone (262) 255-1180, or through Maassen, Donna Jo via phone (414) 908-8119.

Contact Information

Primary practice address
N84W17049 Menomonee Ave Menomonee Falls WI 53051-2701
Phone: (262) 255-1180
Fax: (262) 255-1638
Website:
Map and Directions
Authorized official contact:
Name: Maassen, Donna Jo
Phone: (414) 908-8119

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1659445328
LBN Legal business name Extendicare Homes, Inc.
DBA Doing business as Menomonee Falls Health Care Center
Authorized official Maassen, Donna Jo
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659445328 NPPES
Wisconsin MEDICAID 20125000

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