OrganizationActive
Extendicare Homes, Inc.
NPI 1740352178 · Skilled Nursing Facility · South Milwaukee, WI
Provider details
- NPI number
- 1740352178
- 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
3821 S Chicago Ave
South Milwaukee, WI 53172-3712
Phone: (414) 762-7336
Fax: (414) 762-5077
Street-level locationGet directions
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Other names (DBA / former)
- Doing business as
- Willowcrest Care Center
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.