EXTENDICARE HEALTH FACILITIES, INC. (NPI# 1174695886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174695886 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HEALTH FACILITIES, INC. |
| Other Organization Name | MERCY RESIDENTIAL & REHABILITATION CENTER |
| Practice Address |
2727 W Mitchell St Milwaukee WI 53215-2259 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 4143833699 |
| Practice Fax Number | 4143833866 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE) |
| Authorized Official Telephone | 4149088119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20117600 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Residential & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427309 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1420 E Douglas Road, Mishawaka, IN 46545-1733 | 2010-05-11 |
| 1629141841 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1277 Country Club Rd, Monongahela, PA 15063-1057 | 2006-11-16 |
| 1992877633 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2006-11-15 |
| 1023180734 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 516 26th Ave, Monroe, WI 53566-1531 | 2006-11-15 |
| 1215009915 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1200 Braun Rd, Bethel Park, PA 15102-3106 | 2006-11-15 |
| 1144392879 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1610 Hoover St, New Holstein, WI 53061-1636 | 2006-11-15 |
| 1184796872 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 305 S Clark St, Mayville, WI 53050-1488 | 2006-11-15 |
| 1730251463 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 901 Mulberry St, Lake Mills, WI 53551-1335 | 2006-11-15 |
| 1073685756 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 576 Fred Rogers Dr, Latrobe, PA 15650-3822 | 2006-11-15 |
| 1841362563 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 827 Georges Station Rd, Greensburg, PA 15601-6457 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXTENDICARE HEALTH FACILITIES, INC. | 3500 Lenox Road Ne, Suite 510, Atlanta, GA 30326 |
| Washington State Corporations | EXTENDICARE HEALTH FACILITIES, INC. | 3500 Lenox Rd Ne, Ste 510, Atlanta, GA 30326-4229 |
| Street Address |
2727 W MITCHELL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376005652 | Kimberly Paulson | Occupational Therapist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2019-04-04 |
| 1376026062 | Amanda Kanack | Physical Medicine & Rehabilitation | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2018-09-10 |
| 1841707486 | Amanda Raymond | Speech-Language Pathologist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2018-01-04 |
| 1134647928 | Nsh Mercy LLC | Skilled Nursing Facility | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2017-09-01 |
| 1497144836 | Fmg West Mitchell Street Wisconsin LLC | Skilled Nursing Facility | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2015-01-22 |
| 1225383300 | Amanda Hunt | Physical Therapist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2012-07-16 |
| 1245407501 | Margaret M Lasalle | Occupational Therapist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2008-05-14 |
| 1427224039 | Julie M. Fitzgerald | Speech-Language Pathologist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2008-05-03 |
| 1497953640 | Julie Polzin | Speech-Language Pathologist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2007-07-10 |
| 1053526087 | Janet Marie Sova | Occupational Therapist | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 2007-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780079046 | Rivershore Clinic | Skilled Nursing Facility | 3707 N. Richards St., Milwaukee Health Service, Milwaukee, WI 53212-1673 | 2015-04-03 |
| 1184943540 | Heavenly Touch Nursing | Skilled Nursing Facility | 5606 N 94th St, Milwaukee, WI 53225-2602 | 2010-05-25 |
| 1962731331 | Highland Heights | Skilled Nursing Facility | 2816 N 49th St, Milwaukee, WI 53210-1651 | 2009-12-15 |
| 1427385038 | Marys Adult Family Services LLC | Skilled Nursing Facility | 2802 N 40th St, Suite 210, Milwaukee, WI 53210-1806 | 2009-11-03 |
| 1649464645 | Independent Nurse | Skilled Nursing Facility | 1919 N 19th St, Milwaukee, WI 53205-1547 | 2007-09-02 |
| 1740482181 | Diane L Weidner | Skilled Nursing Facility | 190 W Allerton Ave, Milwaukee, WI 53207-4910 | 2007-06-05 |
| 1235355967 | Dominican Sisters Corp. St Ann Rest Home | Skilled Nursing Facility | 2020 S Muskego Ave, Milwaukee, WI 53204-3622 | 2007-04-18 |
| 1295866325 | Saint John's Communities, Inc. | Skilled Nursing Facility | 1840 N Prospect Ave, Milwaukee, WI 53202-1975 | 2007-03-08 |
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1215092184 | Delphi Healthcare LLC | Skilled Nursing Facility | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 | 2006-12-22 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.