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Extendicare Homes, Inc.
Skilled Nursing Facility in Port Washington, Wisconsin
NPI 1407927148

Extendicare Homes, Inc. is a Skilled Nursing Facility based in Milwaukee, WI. Extendicare Homes, Inc. practices in Port Washington, WI. The NPI Number for Extendicare Homes, Inc. is 1407927148 and holds a License No. (Wisconsin).

The current practice location address for Extendicare Homes, Inc. is 1119 N Wisconsin St, Port Washington, WI and can be reached out via phone at 262-284-5892 and via fax at 262-284-1612.

Location: 1119 N Wisconsin St, Port Washington, WI, 53203-2903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407927148
Provider Name
Extendicare Homes, Inc.
Credential
Provider Entity Type
Organization
Address
1119 N Wisconsin St, Port Washington, WI, 53203-2903
Phone Number
262-284-5892
Fax Number
262-284-1612
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20182700 05 WI
institution
Provider Business Practice Location Address Details
Address
1119 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1209
Phone Number
262-284-5892
Fax Number
262-284-1612
person
Provider Business Mailing Address Details
Address
1119 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1209
Phone Number
262-284-5892
Fax Number
262-284-1612
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
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.
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