CRYSTAL RIVER NURSING & REHABILITATION CENTER
NPI 1780757872
Skilled Nursing Facility in Waupaca, WI

Active since November 16, 2006
1401 CHURCHILL ST, WAUPACA, WI 54981(715) 258-8131(715) 258-0179 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal River Nursing & Rehabilitation Center NPPES

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

CRYSTAL RIVER NURSING & REHABILITATION CENTER (NPI 1780757872) is a healthcare organization registered as a skilled nursing facility in Waupaca, 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

NPI1780757872
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEXTENDICARE HOMES, INC.
Location Address1401 CHURCHILL STWaupaca, WI 54981-2027
Mailing Address111 W Michigan StMilwaukee, WI 53203-2903 · (414) 908-8119 · Fax (414) 908-7105
Fax(715) 258-0179
Organization SubpartNo
Authorized OfficialDonna Jo MaassenDirector Of Compliance · (414) 908-8119
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 7, 2008
NPI 1780757872 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.

1401 CHURCHILL ST, Waupaca, WI 54981

Other Names 1

Doing Business AsCrystal River Nursing & Rehabilitation Center

Other Identifiers 2

Medicaid20115900WI
Medicare OSCAR/certification525339WI

Other Providers at the Same Location NPPES 16

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

Skilled Nursing Facility
1401 CHURCHILL ST
WAUPACA, WI 54981
Skilled Nursing Facility
1401 CHURCHILL ST
WAUPACA, WI 54981
Physical Therapist
1401 CHURCHILL ST
WAUPACA, WI 54981
Physical Therapy Assistant
1401 CHURCHILL ST
WAUPACA, WI 54981
Physical Therapist (Geriatrics)
1401 CHURCHILL ST
WAUPACA, WI 54981
Occupational Therapy Assistant
1401 CHURCHILL ST
WAUPACA, WI 54981
Physical Therapy Assistant
1401 CHURCHILL ST
WAUPACA, WI 54981
Physical Therapy Assistant
1401 CHURCHILL ST
WAUPACA, WI 54981

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 1780757872. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Crystal River Nursing & Rehabilitation Center.

Where is Extendicare Homes, Inc. located?

Extendicare Homes, Inc. is located at 1401 Churchill St, Waupaca, WI 54981. The listed phone number is (715) 258-8131.

What is Extendicare Homes, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Extendicare Homes, Inc. was last updated on April 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.