WILLOWDALE NURSING & REHABILITATION CENTER - NPI 1144392879 - Skilled Nursing Facility in New Holstein, WI

Q: What is Extendicare Health Facilities, Inc.'s NPI number?

The NPI number for Extendicare Health Facilities, Inc. is 1144392879. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Willowdale Nursing & Rehabilitation Center.

Q: What is Extendicare Health Facilities, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

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About Willowdale Nursing & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOWDALE NURSING & REHABILITATION CENTER (NPI 1144392879) is a healthcare organization registered as a skilled nursing facility in New Holstein, Wisconsin and active in the NPI registry since November 2006. The organization lists Donna Jo Maassen, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1144392879

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameEXTENDICARE HEALTH FACILITIES, INC.

Location Address1610 HOOVER STNew Holstein, WI 53061-1636

Mailing Address111 W Michigan StMilwaukee, WI 53203-2903 · (414) 908-8119 · Fax (414) 908-7105

Phone(920) 898-5706

Fax(920) 898-5664

Organization SubpartNo

Authorized OfficialDonna Jo MaassenDirector Of Compliance · (414) 908-8119

Enumeration DateNovember 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1144392879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(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.

1610 HOOVER ST, New Holstein, WI 53061

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Other Names 1

Doing Business AsWillowdale Nursing & Rehabilitation Center

Other Identifiers 1

Medicaid20011300WI

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH RAMAKER PTA

Physical Therapy Assistant