Willowfield Nursing And Rehabilitation Center
LBN: Extendicare Homes, Inc.
Willowfield Nursing And Rehabilitation Center is an health care organization with primary practice located at 905 E Geneva St , Delavan WI 53115-1922. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Extendicare Homes, Inc. can be contacted via phone (262) 728-6319, or through Maassen, Donna Jo via phone (414) 908-8119.
Contact Information
Primary practice address
905 E Geneva St
Delavan WI 53115-1922
Phone: (262) 728-6319
Fax: (262) 728-6693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1578635918 |
|---|---|
| LBN Legal business name | Extendicare Homes, Inc. |
| DBA Doing business as | Willowfield Nursing And Rehabilitation Center |
| Authorized official | Maassen, Donna Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578635918 | NPPES |
| Wisconsin | MEDICAID | 20175200 |
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