OrganizationActive
Extendicare Homes, Inc.
NPI 1114091733 · Skilled Nursing Facility · Vancouver, WA
Provider details
- NPI number
- 1114091733
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Maassen, Director of Compliance(414) 908-8119
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1015 N Garrison Rd
Vancouver, WA 98664-1313
Phone: (360) 694-7501
Fax: (360) 694-8148
Street-level locationGet directions
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Other names (DBA / former)
- Doing business as
- Pacific Specialty and Rehabilitative Care
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2008-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.