EXTENDICARE HOMES, INC. (NPI# 1790864734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790864734 |
| Entity Type | Organization |
| Organization Name | EXTENDICARE HOMES, INC. |
| Other Organization Name | GOLDEN VALLEY REHABILITATION AND CARE CENTER |
| Practice Address |
7505 Country Club Dr Golden Valley MN 55427-4501 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 7635450416 |
| Practice Fax Number | 7635452016 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-30 |
| 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 |
| Other Name | Type Code |
|---|---|
| Golden Valley Rehabilitation and Care 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 |
| Washington State Corporations | EXTENDICARE HOMES, INC. | 3500 Lenox Rd Ne, Suite 510, Atlanta, GA 30326-4229 |
| Street Address |
7505 COUNTRY CLUB DR |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992282982 | Elvio Ayite Gaba | Occupational Therapist | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2018-07-23 |
| 1871092858 | Concerto Minnesota LLC | Clinic/Center | 7505 Country Club Dr, Golden Valley, MN 55427 | 2018-02-06 |
| 1194234666 | Golden Valley Opco, LLC | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2017-09-27 |
| 1942727045 | Tessa Richards | Occupational Therapist | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2017-08-29 |
| 1669913224 | Theresa Kaye Best | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2017-03-16 |
| 1154879229 | Karen Myhrman | Physical Therapist | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2016-09-16 |
| 1316308521 | Katherine Coffee I | Occupational Therapy Assistant | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2016-03-15 |
| 1881053882 | Lindsey Decambaliza | Physical Therapy Assistant | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2016-02-18 |
| 1821457276 | Jessica Kimpling | Speech-Language Pathologist | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2016-02-14 |
| 1245627157 | Calvin John Lindgren | Physical Therapy Assistant | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2015-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| 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 |
|---|---|---|---|---|
| 1205935152 | Covenant Living of Golden Valley | Skilled Nursing Facility | 5825 Saint Croix Ave N, Golden Valley, MN 55422-4483 | 2006-09-21 |
| 1194234666 | Golden Valley Opco, LLC | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2017-09-27 |
| 1669913224 | Theresa Kaye Best | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2017-03-16 |
| 1477951747 | Fmg Country Club Drive Minnesota LLC | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2014-12-18 |
| 1245579713 | Allina Health System | Skilled Nursing Facility | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2013-02-04 |
| 1295963494 | Golden Valley Rehab and Care Center | Skilled Nursing Facility | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2009-06-25 |
| 1699700369 | Courage Residence | Skilled Nursing Facility | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
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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.