Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Vancouver, WA, holding Type 2 (organization) NPI 1114091733 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114091733 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Extendicare Homes, Inc. |
| Other name | <Unavail> |
| Practice address | 1015 N GARRISON RD, Vancouver, WA, 98664 |
| Phone | 3606947501 |
| Fax | 3606948148 |
| Enumeration date | 2006-11-17 |
| Last updated in NPPES | 2008-04-07 |
Authorized official
| Name | Donna Maassen |
|---|---|
| Title | Director of Compliance |
| Phone | 4149088119 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4110094 | Medicaid | WA | — |
Copy-ready billing details
Provider: Extendicare Homes, Inc. NPI: 1114091733 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1015 N GARRISON RD, Vancouver, WA, 98664
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538365192 | Sheri Boles | Individual | Occupational Therapist | Vancouver, WA |
| 1205036019 | Paula Winters | Individual | Occupational Therapy Assistant | Vancouver, WA |
| 1124219035 | Donnelle Rodriguez | Individual | Physical Therapy Assistant | Vancouver, WA |
| 1477744175 | Katherine Donovan | Individual | Geriatric Physical Therapist | Vancouver, WA |
| 1780876102 | Wendy Busch | Individual | Occupational Therapist | Vancouver, WA |
| 1134389661 | Kimberly O'Brien | Individual | Occupational Therapist | Vancouver, WA |
| 1770830002 | Sarah Henderson | Individual | Speech-Language Pathologist | Vancouver, WA |
| 1184052151 | Linda Damon | Individual | Physical Therapist | Vancouver, WA |
Verify this record
Cross-check NPI 1114091733 against the authoritative CMS record: view Extendicare Homes, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Extendicare Homes, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-07.