Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Cornell, WI, holding Type 2 (organization) NPI 1285707372 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285707372 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Extendicare Homes, Inc. |
| Other name | <Unavail> |
| Practice address | 320 N 7TH ST, Cornell, WI, 54732 |
| Phone | 7152396288 |
| Fax | 7152396608 |
| Enumeration date | 2006-11-16 |
| 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 |
|---|---|---|---|
| 20179300 | Medicaid | WI | — |
Copy-ready billing details
Provider: Extendicare Homes, Inc. NPI: 1285707372 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 320 N 7TH ST, Cornell, WI, 54732
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770797888 | Kerry Kowalski | Individual | Physical Therapy Assistant | Cornell, WI |
| 1982885141 | Pamela Wayne | Individual | Occupational Therapy Assistant | Cornell, WI |
| 1124330626 | Kaejan Pederson | Individual | Speech-Language Pathologist | Cornell, WI |
| 1295037018 | Katina Hodgson | Individual | Occupational Therapy Assistant | Cornell, WI |
| 1023372562 | Katie Oliver | Individual | Physical Therapy Assistant | Cornell, WI |
| 1417296237 | Kim Bergh | Individual | Physical Therapy Assistant | Cornell, WI |
| 1821487620 | Fmg North 7th Street Wisconsin LLC | Organization | Skilled Nursing Facility | Cornell, WI |
| 1376071779 | Kelsey Meyer | Individual | Family Nurse Practitioner | Cornell, WI |
Verify this record
Cross-check NPI 1285707372 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 the NPI number for Extendicare Homes, Inc.?
Who is the authorized official for Extendicare Homes, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-04-07.