MENOMONEE FALLS HEALTH CARE CENTER
NPI 1659445328
Skilled Nursing Facility in Menomonee Falls, WI

Active since November 17, 2006CLIA 52D0875052 · Waiver
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051(262) 255-1180(262) 255-1638 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Menomonee Falls Health Care Center NPPES

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

MENOMONEE FALLS HEALTH CARE CENTER (NPI 1659445328) is a healthcare organization registered as a skilled nursing facility in Menomonee Falls, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Donna Jo Maassen, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1659445328
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEXTENDICARE HOMES, INC.
Location AddressN84W17049 MENOMONEE AVEMenomonee Falls, WI 53051-2701
Mailing Address111 W Michigan StMilwaukee, WI 53203-2903 · (414) 908-8119 · Fax (414) 908-7105
Fax(262) 255-1638
Organization SubpartNo
Authorized OfficialDonna Jo MaassenDirector Of Compliance · (414) 908-8119
Enumeration DateNovember 17, 2006
Last NPPES UpdateApril 7, 2008
NPI 1659445328 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.
N84W17049 MENOMONEE AVE, Menomonee Falls, WI 53051

Other Names 1

Doing Business AsMenomonee Falls Health Care Center

Other Identifiers 2

Medicaid20125000WI
Medicare OSCAR/certification525415WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0875052

Menomonee Falls Health Services · Menomonee Falls, WI
Active · expires Aug 17, 2027
CLIA Number52D0875052
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorKari Grosenick
Laboratory Phone(262) 255-1180
Laboratory LocationMenomonee Falls Health ServicesN84 W17049 Menomonee Ave, Menomonee Falls, WI 53051
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Occupational Therapist (Human Factors)
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Occupational Therapist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Speech-Language Pathologist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Occupational Therapist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Physical Therapist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Physical Therapy Assistant
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051
Physical Therapist
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extendicare Homes, Inc.'s NPI number?

The NPI number for Extendicare Homes, Inc. is 1659445328. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Menomonee Falls Health Care Center.

Where is Extendicare Homes, Inc. located?

Extendicare Homes, Inc. is located at N84w17049 Menomonee Ave, Menomonee Falls, WI 53051. The listed phone number is (262) 255-1180.

What is Extendicare Homes, Inc.'s specialty?

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

Does Extendicare Homes, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0875052) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Extendicare Homes, Inc. was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.