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Extendicare Homes, Inc.

Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Olympia, WA, holding Type 2 (organization) NPI 1841363967 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.

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NPI 1841363967
Entity type Organization (Type 2)
Legal business name Extendicare Homes, Inc.
Other name <Unavail>
Practice address 430 LILLY RD NE, Olympia, WA, 98506
Phone 3604919700
Fax 3609235330
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
4110086 Medicaid WA
Copy-ready billing details
Provider: Extendicare Homes, Inc.
NPI: 1841363967
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 430 LILLY RD NE, Olympia, WA, 98506

Providers at this address

NPI Name Type Specialty Location
1962469429 Gerald Cavenee Individual Clinical Psychologist Olympia, WA
1952506602 Shawn Grimes Individual Physical Therapist Olympia, WA
1578718300 Stephanie Wardynski Individual Physical Therapy Assistant Olympia, WA
1457580011 Kimberly Jakubowski Individual Physical Therapist Olympia, WA
1285065201 Sarah Martin Individual Occupational Therapist Olympia, WA
1740671734 Woodard Creek Healthcare LLC Organization Skilled Nursing Facility Olympia, WA
1790234896 Sarah Brownstein Individual Physical Therapist Olympia, WA
1710579263 Michael Miller Individual Physical Therapist Olympia, WA

Verify this record

Cross-check NPI 1841363967 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.?
Extendicare Homes, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-07.