EXTENDICARE HOMES, INC. (NPI# 1851463350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851463350 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | STONEBRIDGE HEALTH & REHABILITATION CENTER |
| Practice Address |
102 Chandra Dr Duncannon PA 17020-9745 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 7178344111 |
| Practice Fax Number | 7178346332 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-04-09 |
| 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 |
| Other Name | Type Code |
|---|---|
| Stonebridge Health & 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 |
102 CHANDRA DR |
| City | DUNCANNON |
| State | PA |
| Zip Code | 17020-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240198 | Karen Jo Reiner | Occupational Therapy Assistant | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2019-11-22 |
| 1194206136 | Deborah Lynne Lawrence | Speech-Language Pathologist | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2018-08-28 |
| 1619457165 | Hayley Christine Willier | Occupational Therapy Assistant | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2018-08-15 |
| 1194225409 | Stonebridge Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2018-02-14 |
| 1790173458 | Oak Hrc Stonebridge LLC | Skilled Nursing Facility | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2015-01-05 |
| 1760812465 | Kelly O'brien | Speech-Language Pathologist | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2013-11-15 |
| 1699105585 | Janet Bechtel | Physical Therapy Assistant | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2013-11-14 |
| 1427487677 | Whitney M Melnick | Physical Therapy Assistant | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2013-11-08 |
| 1124457999 | Amy Cliber | Physical Therapist | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2013-11-02 |
| 1750580601 | Konrad Gorski | Physical Therapist | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2007-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164905501 | Jason Shorey | Physical Therapy Assistant | 102 Chandra Dr., Duncannon, PA 17020 | 2018-09-12 |
| 1093128217 | Christopher Valintakonis | Pharmacist | 5 Friendly Dr., Duncannon, PA 17020 | 2014-06-05 |
| 1992185946 | Rennie Billow | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2015-06-04 |
| 1316350655 | Rite Aid Pharmacy | Pharmacy | 5 Friendly Drive, Duncannon, PA 17020 | 2014-06-04 |
| 1831498179 | Thomas Henry Beauduy | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2011-03-25 |
| 1326206053 | Wong York Sun | Pharmacist | 5 Friendly Drive, Duncannon, PA 17020 | 2008-05-29 |
| 1598769978 | Kathleen A Scioli | Physician Assistant | 51 Business Campus Way, Ste 200, Duncannon, PA 17020 | 2005-06-13 |
| 1396835419 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 5 Friendly Drive, Duncannon, PA 17020-0157 | 2006-10-13 |
| 1316901820 | Two Rivers Family Healthcare, P.C. | Family Medicine | 4 S Market St, First Floor Right Rear, Duncannon, PA 17020-1225 | 2006-04-12 |
| 1770547820 | Lynn Anne Cornelius | Family Medicine | 4 S Market St, First Floor Right Rear, Duncannon, PA 17020-1225 | 2006-04-14 |
| Find all providers in zip 17020 | ||||
| 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 |
|---|---|---|---|---|
| 1821096801 | Kinkora Pythian Home | Skilled Nursing Facility | 25 Cove Rd, Duncannon, PA 17020-9514 | 2005-07-13 |
| 1194225409 | Stonebridge Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2018-02-14 |
| 1790173458 | Oak Hrc Stonebridge LLC | Skilled Nursing Facility | 102 Chandra Dr, Duncannon, PA 17020-9745 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.