Extendicare Homes, Inc.
Organization Active NPI Skilled Nursing Facility · Salyersville, KY
NPI 1114093606 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1114093606
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EXTENDICARE HOMES, INC.
- Practice address
- 571 Parkway Dr
Salyersville, KY 41465-9248 - Phone
- (606) 349-6181
- Fax
- (606) 349-5962
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
571 Parkway Dr
Salyersville, KY 41465-9248
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500187 | Medicaid | KY |
Other names
- Salyersville Health Care Center
Other providers in Salyersville, KY
- Robert Crum
- DHP Incorporated
- Helen Renee Doan
- Kerri Dues
- Sarah Kathleen Dyer
- Extendicare Homes, Inc.
- Gail E Faria
- First Care Family Practice
- Frontier Behavioral Health Center PLLC
- Aaron T Frye
All providers in Salyersville, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.