Extendicare Homes, Inc.
Organization Active NPI Skilled Nursing Facility · Springfield, KY
NPI 1376617837 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1376617837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EXTENDICARE HOMES, INC.
- Practice address
- 420 E Grundy Ave
Springfield, KY 40069-1173 - Phone
- (859) 336-7771
- Fax
- (859) 336-9571
- NPI assigned
- Nov 17, 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
420 E Grundy Ave
Springfield, KY 40069-1173
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500872 | Medicaid | KY |
Other names
- Springfield Nursing and Rehab Center
Other providers in Springfield, KY
- Don K. Flowers, Jr., D.M.D., P.S.C.
- Diane Eickmeier
- Jonathon Lee Ennis
- Ephraim McDowell Health Resource, Inc.
- Heather Lynn Estep
- Family Pharmacy, LLC
- Family Wellcare Clinic, PLLC
- Kelly E Fenwick
- Finck Supported Living Services of Kentucky, Inc.
- Don K. Flowers
All providers in Springfield, 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.