EXTENDICARE HOMES, INC. (NPI# 1558434118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558434118 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | ABINGTON CREST NURSING & REHABILITATION CENTER |
| Practice Address |
1267 S Hill Rd Erie PA 16509-4831 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 8148644081 |
| Practice Fax Number | 8148680514 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-03-18 |
| 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 |
|---|---|---|---|
| NY | 01213996 | 05 | |
| PA | 100739356 | 05 |
| Other Name | Type Code |
|---|---|
| Abington Crest 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 |
| Street Address |
1267 S HILL RD |
| City | ERIE |
| State | PA |
| Zip Code | 16509-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219040 | Guardian Elder Care At Erie IIi LLC | Skilled Nursing Facility | 1267 S Hill Rd, Erie, PA 16509-4831 | 2018-03-22 |
| 1801302914 | Qls Erie LLC | Skilled Nursing Facility | 1267 S Hill Rd, Erie, PA 16509-4831 | 2017-12-27 |
| 1548659360 | Oak Hrc Abington LLC | Skilled Nursing Facility | 1267 S Hill Rd, Erie, PA 16509-4831 | 2015-01-16 |
| 1578994844 | Agnieszka Szelwach | Physical Therapist | 1267 S Hill Rd, Erie, PA 16509-4831 | 2013-12-11 |
| 1306277157 | Maureen Slaney | Speech-Language Pathologist | 1267 S Hill Rd, Erie, PA 16509-4831 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| 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 |
|---|---|---|---|---|
| 1699904433 | Erie Operating LLC | Skilled Nursing Facility | 4850 Zuck Rd, Erie, PA 16506 | 2009-07-14 |
| 1831201946 | 4114 Schaper Avenue Operating Company, LLC | Skilled Nursing Facility | 4114 Schaper Avenue, Erie, PA 16508 | 2006-08-31 |
| 1003923566 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 1225 School Rd, Erie, PA 16505-2691 | 2006-08-23 |
| 1770595415 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 6351 W Lake Rd, Erie, PA 16505-2676 | 2006-08-12 |
| 1538115654 | Twinbrook Medical Center-erie Pa LLC | Skilled Nursing Facility | 3805 Field St, Erie, PA 16511-2825 | 2006-05-26 |
| 1184675563 | Ggnsc Erie II Lp | Skilled Nursing Facility | 2686 Peach St, Erie, PA 16508-1851 | 2006-05-12 |
| 1891746178 | Ggnsc Erie Western Reserve Lp | Skilled Nursing Facility | 1521 W 54th St, Erie, PA 16509-2620 | 2006-05-12 |
| 1891786604 | The Ball Pavilion | Skilled Nursing Facility | 5416 E Lake Rd, Erie, PA 16511-1427 | 2005-11-01 |
| 1003804634 | Asbury Atlantic, Inc | Skilled Nursing Facility | 2301 Edinboro Rd, Erie, PA 16509-3409 | 2005-10-07 |
| 1508865627 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 2628 Elmwood Ave, Erie, PA 16508-1421 | 2005-07-20 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on EXTENDICARE HOMES, INC..
| 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.