EXTENDICARE HOMES, INC. (NPI# 1124190566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124190566 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | SALYERSVILLE ADULT DAY CENTER |
| Practice Address |
571 Parkway Dr Salyersville KY 41465-9248 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 6063496161 |
| Practice Fax Number | 6063494784 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE) |
| Authorized Official Telephone | 4149088119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 43001775 | 05 |
| Other Name | Type Code |
|---|---|
| Salyersville Adult Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345800 | Extendicare Homes, Inc. | Assisted Living Facility | 100 E Dalke Ave, Spokane, WA 99208-1006 | 2006-12-27 |
| 1639245558 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2006-11-24 |
| 1912070624 | Extendicare Homes, Inc. | Skilled Nursing Facility | 414 Robey St, Franklin, KY 42134-1034 | 2006-11-17 |
| 1043383771 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2500 N Elm St, Henderson, KY 42420-2005 | 2006-11-17 |
| 1790859486 | Extendicare Homes, Inc. | Skilled Nursing Facility | 3431 N 13th St, Sheboygan, WI 53083-2938 | 2006-11-17 |
| 1871666560 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2006-11-17 |
| 1215001862 | Extendicare Homes, Inc. | Skilled Nursing Facility | 619 W Walnut St, Milwaukee, WI 53212-3839 | 2006-11-17 |
| 1619041340 | Extendicare Homes, Inc. | Skilled Nursing Facility | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2006-11-17 |
| 1255405700 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2582 Cerulean Rd, Cadiz, KY 42211-9605 | 2006-11-17 |
| 1376617837 | Extendicare Homes, Inc. | Skilled Nursing Facility | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2006-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXTENDICARE HOMES, INC. | 3500 Lenox Road Ne, Suite 510, Atlanta, GA 30326 |
| Washington State Corporations | EXTENDICARE HOMES, INC. | 3500 Lenox Rd Ne, Suite 510, Atlanta, GA 30326-4229 |
| Street Address |
571 PARKWAY DR |
| City | SALYERSVILLE |
| State | KY |
| Zip Code | 41465-9248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247978 | Charles Edward Hardin Jr. | Family Medicine | 571 Parkway Dr, Hardin Medical Plaza, Salyersville, KY 41465-9248 | 2005-09-30 |
| 1801448444 | Jessica Renee Tackett | Registered Nurse | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2019-07-14 |
| 1720349301 | Salyersville Health Facilities Lp | Respite Care | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2012-05-31 |
| 1871853242 | Salyersville Health Facilities Lp | Skilled Nursing Facility | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2012-05-20 |
| 1104140680 | Dana Collett | Physical Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-26 |
| 1467775064 | Kimberly Crawford | Physical Therapy Assistant | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1255654844 | James Mullins | Physical Therapy Assistant | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1710200316 | Sherri May | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2010-03-10 |
| 1942409412 | Ryan Mitchell Holbrook | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-07-16 |
| 1104023548 | Kerri Hardin | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1669954681 | Heritage Pharmacy | Pharmacy | 870 Parkway Drive, Salyersville, KY 41465 | 2018-09-06 |
| 1922594506 | Big Sandy Health Care Inc | Clinic/Center | 214 Beriah Blvd, Salyersville, KY 41465 | 2018-07-06 |
| 1265944060 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 525 Dotson Branch, Salyersville, KY 41465 | 2017-11-02 |
| 1699299677 | Sarah Kathleen Dyer | Nurse Practitioner | 914 E Mountain Parkway, Salyersville, KY 41465 | 2017-08-01 |
| 1447683958 | Highlands Hospital Corp | Family Medicine | 186 Breanna Boulevard, Suite 100, Salyersville, KY 41465 | 2013-08-20 |
| 1366720021 | Zacharry F Slone | Chiropractor | 690 E Mountain Pwy, Salyersville, KY 41465 | 2011-07-29 |
| 1477844199 | Martin Hermann Leuschner | Pharmacist | 308 Parkway Dr, Salyersville, KY 41465 | 2011-04-28 |
| 1619268927 | Alicia Montgomery Ward | Pharmacist | 308 Parkway Drive, Rite Aid Pharmacy, Salyersville, KY 41465 | 2011-04-21 |
| 1578886081 | Machelle Renee Hardin | Speech-Language Pathologist | 125 Hardin Drive, Salyersville, KY 41465 | 2010-03-11 |
| Find all providers in zip 41465 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659856961 | Salyersville Health Operating Company LLC | Skilled Nursing Facility | 662 Parkway Dr, Salyersville, KY 41465-9249 | 2018-10-02 |
| 1871853242 | Salyersville Health Facilities Lp | Skilled Nursing Facility | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2012-05-20 |
| 1114093606 | Extendicare Homes, Inc. | Skilled Nursing Facility | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1205386208 | Vanceburg Leasing, LLC | Skilled Nursing Facility | 58 Eastham St, Vanceburg, KY 41179-5462 | 2016-10-13 |
| 1932659935 | Green Hill Leasing, LLC | Skilled Nursing Facility | 213 Industrial Dr, Greensburg, KY 42743-1166 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SALYERSVILLE |
| Zip Code | 41465 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.