EXTENDICARE HOMES, INC. (NPI# 1316010564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316010564 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | BON HARBOR NURSING & REHABILITATION CENTER |
| Practice Address |
2420 W 3rd St Owensboro KY 42301-0328 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 2706843141 |
| Practice Fax Number | 2706844867 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-04-01 |
| 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 | 12502084 | 05 |
| Other Name | Type Code |
|---|---|
| Bon Harbor Nursing & Rehabilitation 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 |
2420 W 3RD ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-0328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149801 | Twin Rivers Operating Company LLC | Skilled Nursing Facility | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2018-10-02 |
| 1841550209 | Owensboro Health Facilities Lp | Skilled Nursing Facility | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2012-05-20 |
| 1790002707 | Roxx A Lovell | Occupational Therapy Assistant | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2010-04-29 |
| 1902123326 | Jessica Renee Muensterman | Occupational Therapy Assistant | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2010-04-24 |
| 1033434915 | Jennifer Diane Head | Speech-Language Pathologist | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2010-04-02 |
| 1154646347 | Nicola Marie Grimes | Speech-Language Pathologist | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2010-03-31 |
| 1851582142 | Mickey Hugh Melton | Occupational Therapy Assistant | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2007-08-05 |
| 1174721187 | Sherri Lynn Cook | Physical Therapy Assistant | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2007-07-11 |
| 1184821357 | Ruth E King | Speech-Language Pathologist | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2007-06-29 |
| 1194922336 | Cynthia E Galloway | Speech-Language Pathologist | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| 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 |
|---|---|---|---|---|
| 1982769022 | Carmelite Sisters of The Divine Heart of Jesus of Missouri Carmel Home | Skilled Nursing Facility | 2501 Old Hartford Rd, Owensboro, KY 42303-1339 | 2006-12-27 |
| 1902919426 | Leisure Years Nursing, LLC | Skilled Nursing Facility | 1205 Leitchfield Rd, Owensboro, KY 42303-0861 | 2006-08-17 |
| 1679509939 | Hqm of Owensboro, LLC | Skilled Nursing Facility | 1614 W Parrish Ave, Owensboro, KY 42301-3535 | 2006-06-25 |
| 1598763898 | Wellington Parc Health Systems, Inc. | Skilled Nursing Facility | 2885 New Hartford Rd, Owensboro, KY 42303-1320 | 2005-07-11 |
| 1588149801 | Twin Rivers Operating Company LLC | Skilled Nursing Facility | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2018-10-02 |
| 1831568062 | Carmelite Sisters of The Divine Heart of Jesus Kentucky Corporation | Skilled Nursing Facility | 2501 Old Hartford Rd, Owensboro, KY 42303-1339 | 2015-09-17 |
| 1518381177 | Lp Owensboro II, LLC | Skilled Nursing Facility | 3740 Old Hartford Rd, Owensboro, KY 42303-1727 | 2014-02-18 |
| 1841550209 | Owensboro Health Facilities Lp | Skilled Nursing Facility | 2420 W 3rd St, Owensboro, KY 42301-0328 | 2012-05-20 |
| 1346431616 | Lp Owensboro LLC | Skilled Nursing Facility | 1614 W Parrish Ave, Owensboro, KY 42301-3535 | 2007-08-05 |
| 1184604225 | Owensboro Health Inc | Skilled Nursing Facility | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2006-01-17 |
| Find all providers in OWENSBORO | ||||
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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.