EXTENDICARE HOMES, INC.


Address: 420 E Grundy Ave, Springfield, KY 40069-1173
Phone: 8593367771

EXTENDICARE HOMES, INC. (NPI# 1376617837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376617837
Entity Type Organization
Organization Name EXTENDICARE HOMES, INC.
Other Organization Name SPRINGFIELD NURSING AND REHAB CENTER
Practice Address 420 E Grundy Ave
Springfield
KY 40069-1173
Mailing Address 111 W Michigan St
Milwaukee
WI 53203-2903
Practice Telephone 8593367771
Practice Fax Number 8593369571
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 12500872 05

Other Provider/Organization Names

Other Name Type Code
Springfield Nursing and Rehab Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
1184798712 Extendicare Homes, Inc. Skilled Nursing Facility 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 2006-11-17

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities EXTENDICARE HOMES, INC. 3500 Lenox Road Ne, Suite 510, Atlanta, GA 30326

Office Location

Street Address 420 E GRUNDY AVE
City SPRINGFIELD
State KY
Zip Code 40069-1173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801371125 Springfield Health Center LLC Skilled Nursing Facility 420 E Grundy Ave, Springfield, KY 40069-1173 2018-10-02
1386904563 Springfield Health Facilities Lp Skilled Nursing Facility 420 E Grundy Ave, Springfield, KY 40069-1173 2012-05-22
1780959528 Shana Nicole Baker Physical Therapy Assistant 420 E Grundy Ave, Springfield, KY 40069-1173 2012-03-13
1275730400 Joanna Filiatreau Tennill Physical Therapy Assistant 420 E Grundy Ave, Springfield, KY 40069-1173 2007-06-29
1780881227 Eric Joseph Coulter Physical Therapist 420 E Grundy Ave, Springfield, KY 40069-1173 2007-06-28
1841497377 Mollie Sullivan Blair Occupational Therapist 420 E Grundy Ave, Springfield Nsg and Rehab Center, Springfield, KY 40069-1173 2007-06-28
1578760054 Lucy A Rucker Speech-Language Pathologist 420 E Grundy Ave, Springfield, KY 40069-1173 2007-06-28
1457558975 Rhonda Riney Occupational Therapist 420 E Grundy Ave, Springfield, KY 40069-1173 2007-06-28
1427255991 Gail Ballard Taylor Physical Therapy Assistant 420 E Grundy Ave, Springfield, KY 40069-1173 2007-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972901189 Fred's Stores of Tennessee Inc Pharmacy 1117 Lincoln Park Rd, Springfield, KY 40069 2014-12-22
1730455346 Christina Nicole Saunier Speech-Language Pathologist 716 East Grundy Ave, Springfield, KY 40069 2012-03-28
1912157207 Allison Brooke Ballard Social Worker 2373 Lincoln Park Rd, Springfield, KY 40069 2008-09-24
1497737001 Lincoln Trail District Health Dept Public Health or Welfare 302 E Main St, Springfield, KY 40069 2005-11-18
1497267637 Jonathon Lee Ennis Physician Assistant 805 Bardstown Rd, Springfield, KY 40069 2017-10-27
1619496395 Family Wellcare Clinic, Pllc Internal Medicine 805 Bardstown Rd Ste 12, Springfield, KY 40069 2017-09-14
1750562690 Washington County Schools Local Education Agency (LEA) 120 Mackville Hl, Springfield, KY 40069-1013 2007-11-20
1912028309 Colette M Hill Massage Therapist 114 S Walnut St, Springfield, KY 40069-1104 2007-04-03
1083751424 Communicare Inc Community/Behavioral Health 324 E Main St, Springfield, KY 40069-1127 2007-02-01
1639654809 Bardstown Primary Care, Pllc Clinic/Center 102 W Depot St, Springfield, KY 40069-1159 2018-10-03
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508373838 Sunterra Springfield Oc, LLC Skilled Nursing Facility 4935 S National Ave, Springfield, MO 65810 2018-01-09
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1376054197 Trilogy Healthcare Operations of Springfield II, LLC Skilled Nursing Facility 2900 Bechtle Avenue, Springfield, OH 45504 2017-10-19
1033559349 Marquis Care Skilled Nursing Facility 25 U St, Springfield, OR 97477-2155 2013-07-01
1447592118 Ojcc LLC Skilled Nursing Facility 3089 Old Jacksonville Rd, Springfield, IL 62704-6486 2013-03-20
1225310246 Lutheran Retirement Center Association Skilled Nursing Facility 4101 W Iles Ave, Springfield, IL 62711-7051 2011-09-15
1073747077 The Maples Health and Rehabilitation, LLC Skilled Nursing Facility 610 W Sunset St, Springfield, MO 65807-3696 2009-05-06
1104034289 Capitol Care Center, LLC Skilled Nursing Facility 555 W Carpenter St, Springfield, IL 62702-4905 2007-05-20
1396862314 Good Shepherd Village LLC Skilled Nursing Facility 422 N Burnett Rd, Springfield, OH 45503-4821 2007-03-23
1346374949 Woodland Manor Limited Partnership Skilled Nursing Facility 2000 Villa Rd, Springfield, OH 45503-1761 2007-03-15
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Competitor

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City SPRINGFIELD
Zip Code 40069

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Dataset Information

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.

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