EXTENDICARE HOMES, INC. (NPI# 1871666560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871666560 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | MEDCO CENTER OF BOWLING GREEN |
| Practice Address |
1561 Newton Ave Bowling Green KY 42104-3238 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 2708421611 |
| Practice Fax Number | 2707460957 |
| 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 | 12500203 | 05 |
| Other Name | Type Code |
|---|---|
| Medco Center of Bowling Green | 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 |
| 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 |
| 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 |
| Washington State Corporations | EXTENDICARE HOMES, INC. | 3500 Lenox Rd Ne, Suite 510, Atlanta, GA 30326-4229 |
| Street Address |
1561 NEWTON AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780169060 | Bowling Green Health Center LLC | Skilled Nursing Facility | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2018-10-02 |
| 1033479498 | Bowling Green Health Facilities Lp | Skilled Nursing Facility | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2012-05-20 |
| 1225326895 | Mark Jeffery Lisembee | Physical Therapy Assistant | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2011-07-18 |
| 1396060323 | Jordana A Hartman | Physical Therapy Assistant | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2010-04-01 |
| 1902121353 | Selina Renee Brigance | Occupational Therapy Assistant | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2010-03-29 |
| 1760707129 | Dana Clare Kramer | Occupational Therapist | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2010-03-29 |
| 1043417074 | Angela Robinson | Occupational Therapy Assistant | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2007-07-02 |
| 1407053473 | Edna Palispis | Occupational Therapist | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2007-07-02 |
| 1396942389 | Abby Raye Lee | Speech-Language Pathologist | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2007-07-02 |
| 1639376734 | Tiffany Marie Ayers | Speech-Language Pathologist | 1561 Newton Ave, Bowling Green, KY 42104-3238 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1205973500 | Christian Care Communities, Inc. | Skilled Nursing Facility | 1800 Westen St, Bowling Green, KY 42104-5843 | 2007-01-30 |
| 1629181557 | Medical Facilities of America Xl | Skilled Nursing Facility | 120 Anderson Ave., Bowling Green, VA 22427 | 2006-08-16 |
| 1265455521 | Hcf of Bowling Green, Inc. | Skilled Nursing Facility | 1021 W Poe Rd, Bowling Green, OH 43402-9362 | 2006-07-26 |
| 1740216225 | Thames Healthcare Group, LLC | Skilled Nursing Facility | 5079 Scottsville Rd, Bowling Green, KY 42104-7897 | 2006-06-24 |
| 1982690871 | Moore-pike Nursing Home Inc. | Skilled Nursing Facility | 300 S Saint Charles St, Bowling Green, MO 63334-2221 | 2005-09-26 |
| 1386643617 | Wood County Auditor | Skilled Nursing Facility | 1965 E Gypsy Lane Rd, Bowling Green, OH 43402-9564 | 2005-07-19 |
| 1235137530 | Wellington Parc Health Systems, Inc. | Skilled Nursing Facility | 1381 Campbell Ln, Bowling Green, KY 42104-1049 | 2005-07-11 |
| 1033117403 | Warren County Health Care Services, Inc. | Skilled Nursing Facility | 2365 Nashville Rd, Bowling Green, KY 42101-4144 | 2005-07-11 |
| 1043217573 | Country View Nursing Facility, Inc. | Skilled Nursing Facility | 2106 W Main St, Bowling Green, MO 63334-1049 | 2005-06-30 |
| 1922620608 | Americare Ohio Group LLC | Skilled Nursing Facility | 1069 Klotz Rd, Bowling Green, OH 43402-4828 | 2020-05-15 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.