EXTENDICARE HOMES, INC. (NPI# 1619041340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619041340 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | MEDCO CENTER OF PADUCAH |
| Practice Address |
867 Mcguire Ave Paducah KY 42001-4036 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 2704426168 |
| Practice Fax Number | 2704436211 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-17 |
| 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 | 12501490 | 05 |
| Other Name | Type Code |
|---|---|
| Medco Center of Paducah | 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 |
| 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 |
| 1184798712 | Extendicare Homes, Inc. | Skilled Nursing Facility | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 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 |
867 MCGUIRE AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106991 | Brittany Thompson | Nurse Practitioner | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2020-02-14 |
| 1609425107 | Melissa Todd | Nurse Practitioner | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2019-09-06 |
| 1508341819 | Paducah Operating Company LLC | Skilled Nursing Facility | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2018-10-02 |
| 1750641114 | Paducah Health Facilities Lp | Skilled Nursing Facility | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2012-05-20 |
| 1134445661 | Mychael Beth Colson | Speech-Language Pathologist | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2010-04-08 |
| 1255538179 | Christine Esteves | Occupational Therapist | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-07-03 |
| 1528265733 | Michelle Lynn Sharer | Physical Therapy Assistant | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-06-29 |
| 1881891000 | Catherine J Vinson | Occupational Therapy Assistant | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-06-29 |
| 1942407366 | Denise Leigh Linger | Physical Therapy Assistant | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-06-29 |
| 1437356938 | Tommie D Rasor | Speech-Language Pathologist | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| 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 |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1093855355 | Covenant Care Center of Paducah, LLC | Skilled Nursing Facility | 800 7th Street, Paducah, TX 79248 | 2007-02-07 |
| 1558475293 | Superior Care Home, Inc | Skilled Nursing Facility | 100 Marshall Court, Paducah, KY 42001-4075 | 2006-08-19 |
| 1215984802 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 544 Lone Oak Rd, Paducah, KY 42003-4538 | 2006-05-28 |
| 1871594747 | Paducah Health Services, LLC | Skilled Nursing Facility | 501 N 3rd St, Paducah, KY 42001-0749 | 2005-08-02 |
| 1508341819 | Paducah Operating Company LLC | Skilled Nursing Facility | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2018-10-02 |
| 1053659490 | Genesis Health Care | Skilled Nursing Facility | 501 N 3rd St, Paducah, KY 42001-0749 | 2013-01-18 |
| 1750641114 | Paducah Health Facilities Lp | Skilled Nursing Facility | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2012-05-20 |
| 1912145822 | Paducah Healthcare Providers, LLC | Skilled Nursing Facility | 800 7th Street, Paducah, TX 79248 | 2009-01-30 |
| 1780760769 | Baptist Healthcare System Inc. | Skilled Nursing Facility | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2006-10-31 |
| Find all providers in PADUCAH | ||||
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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.