EXTENDICARE HEALTH FACILITIES, INC. (NPI# 1992877633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877633 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HEALTH FACILITIES, INC. |
| Other Organization Name | WILLOWS NURSING AND REHAB CENTER, THE |
| Practice Address |
41 Rickel Rd Sun Prairie WI 53590-1840 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 6088378529 |
| Practice Fax Number | 6088379484 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| 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 | 20155200 | 05 |
| Other Name | Type Code |
|---|---|
| Willows Nursing and Rehab Center, The | 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 |
| 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 |
| 1174695886 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 2727 W Mitchell St, Milwaukee, WI 53215-2259 | 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 |
| Street Address |
41 RICKEL RD |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813639 | Logan Michelle Ormeroid | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2020-08-24 |
| 1235632688 | Karen Kay Schuster | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2018-03-12 |
| 1063925634 | Crossroads Care Center of Sun Prairie LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2017-11-06 |
| 1659899458 | Nsh Sun Prairie LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2017-09-01 |
| 1225408693 | Kristina Schumann | Physical Therapy Assistant | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2015-09-29 |
| 1326433889 | Christina Jacobs | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2015-04-01 |
| 1275925596 | Fmg Rickel Road Wisconsin LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2015-02-24 |
| 1619374972 | Katelyn Danielle Labinski | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2014-12-01 |
| 1326461336 | Margaret Karpinen | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2014-01-27 |
| 1902246499 | Kristen O'malley | Physical Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| 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 |
|---|---|---|---|---|
| 1174582258 | Kim Whitmore Private Duty | Skilled Nursing Facility | 2780 Blue Aster Blvd, Sun Prairie, WI 53590-4670 | 2006-03-18 |
| 1063925634 | Crossroads Care Center of Sun Prairie LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2017-11-06 |
| 1659899458 | Nsh Sun Prairie LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2017-09-01 |
| 1275925596 | Fmg Rickel Road Wisconsin LLC | Skilled Nursing Facility | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2015-02-24 |
| 1265420319 | Sun Prairie Health Care Center, LLC | Skilled Nursing Facility | 228 W Main St, Sun Prairie, WI 53590-2908 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.