Extendicare Homes, Inc.
Organization Active NPI Skilled Nursing Facility · Morganfield, KY
NPI 1871667550 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1871667550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EXTENDICARE HOMES, INC.
- Practice address
- 509 N Carrier St
Morganfield, KY 42437-1201 - Phone
- (270) 389-3513
- Fax
- (270) 389-4706
- 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
509 N Carrier St
Morganfield, KY 42437-1201
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500765 | Medicaid | KY |
Other names
- Morganfield Nursing and Rehabilitation
Other providers in Morganfield, KY
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- Britney Kay Ervin
- Isaac Wayne Ervin
- Tabithia Fischbeck
- Fischbeck'S Pharmacy Inc
- Fischbeck'S Pharmacy, Inc.
- FP Direct LLP
- Brittany M French
All providers in Morganfield, 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.