# EXTENDICARE HEALTH FACILITIES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Eldercrest Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104998871
- **Authorized official:** DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 2600 W RUN RD, MUNHALL, PA 15120-2869
- **Practice address phone:** (412) 462-8002
- **Practice address fax:** (412) 462-2113
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 04/09/2008