Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Milwaukee, WI, holding Type 2 (organization) NPI 1215001862 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215001862 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Extendicare Homes, Inc. |
| Other name | <Unavail> |
| Practice address | 619 W WALNUT ST, Milwaukee, WI, 53212 |
| Phone | 4142631770 |
| Fax | 4142632467 |
| 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 |
|---|---|---|---|
| 20115800 | Medicaid | WI | — |
Copy-ready billing details
Provider: Extendicare Homes, Inc. NPI: 1215001862 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 619 W WALNUT ST, Milwaukee, WI, 53212
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831437581 | Children'S Hospital of Wisconsin | Organization | Pediatrics Physician | Milwaukee, WI |
| 1669872818 | Jessica Diaz | Individual | Mental Health Counselor | Milwaukee, WI |
| 1164897435 | Kelee Dangles | Individual | Professional Counselor | Milwaukee, WI |
| 1679077481 | Lauren Frank | Individual | Pediatric Nurse Practitioner | Milwaukee, WI |
| 1154962900 | Janna Hoppe | Individual | Pediatric Nurse Practitioner | Milwaukee, WI |
| 1538894159 | Corissa Griffith | Individual | Clinical Social Worker | Milwaukee, WI |
| 1275226508 | Braelyn Grinwald | Individual | Clinical Social Worker | Milwaukee, WI |
| 1144008285 | Grace Jacinto Diaz | Individual | Professional Counselor | Milwaukee, WI |
Verify this record
Cross-check NPI 1215001862 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 is a Type 2 NPI?
What type of organization is Extendicare Homes, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-07.