EXTENDICARE HOMES, INC. (NPI# 1518039023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518039023 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | SUNRISE MANOR NURSING & REHABILITATION CENTER |
| Practice Address |
200 Norfleet Dr Somerset KY 42501-1952 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 6066785104 |
| Practice Fax Number | 6066771925 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-03-31 |
| 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 | 12502456 | 05 |
| Other Name | Type Code |
|---|---|
| Sunrise Manor Nursing & Rehabilitation Center | 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 |
| 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 |
| 1376617837 | Extendicare Homes, Inc. | Skilled Nursing Facility | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2006-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXTENDICARE HOMES, INC. | 3500 Lenox Road Ne, Suite 510, Atlanta, GA 30326 |
| Street Address |
200 NORFLEET DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326523648 | Sunrise Manor Opco LLC | Skilled Nursing Facility | 200 Norfleet Dr, Somerset, KY 42501-1931 | 2018-10-02 |
| 1801348719 | Valorie Marlow | Nurse Practitioner | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2016-10-26 |
| 1316207780 | Somerset Health Facilities Lp | Skilled Nursing Facility | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2012-05-20 |
| 1720381601 | Kari Lynn Linscott | Physical Therapy Assistant | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2010-12-14 |
| 1285958116 | Prostep Rehab | Skilled Nursing Facility | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2010-03-22 |
| 1164745642 | Shannon Wesley | Occupational Therapist | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2010-03-11 |
| 1902005051 | Jamie Tarter-greene | Speech-Language Pathologist | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2007-07-17 |
| 1144428087 | Ginger Lee Davis | Speech-Language Pathologist | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2007-07-03 |
| 1093913907 | Sandra Ann Massey | Physical Therapy Assistant | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2007-07-03 |
| 1639376569 | Lisa Evelyn Boyd | Occupational Therapy Assistant | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1114309119 | Somerset Woods Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 780 Old New Brunswick Road, Somerset, NJ 08873 | 2015-06-25 |
| 1609190545 | James Rodney Edwards | Skilled Nursing Facility | 140 Harris Rd, Somerset, KY 42503-4916 | 2010-03-22 |
| 1316114861 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2008-05-14 |
| 1134158918 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Avenue, Somerset, NJ 08873-1613 | 2006-07-02 |
| 1639108871 | Thi of Ohio At Somerset LLC | Skilled Nursing Facility | 411 S Columbus St, Somerset, OH 43783-9415 | 2006-07-01 |
| 1033145529 | Hanging Rock Ltc, LLC | Skilled Nursing Facility | 555 Bourne Ave, Somerset, KY 42501-1915 | 2006-06-25 |
| 1477598803 | Somerset Ridge Limited Partnership | Skilled Nursing Facility | 455 Brayton Ave, Somerset, MA 02726-2642 | 2006-06-19 |
| 1326037938 | Somerset Manor L L C | Skilled Nursing Facility | 106 Gover St, Somerset, KY 42501-3332 | 2005-10-17 |
| 1992793509 | Clifton Geriatric Center | Skilled Nursing Facility | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2005-10-07 |
| 1427057918 | Regency Heritage Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 380 Demott Lane, Somerset, NJ 08873-2762 | 2005-07-18 |
| Find all providers in SOMERSET | ||||
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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.