Extendicare Homes, Inc.

Skilled Nursing Facility · Irvine, KY

Organization Active NPI

NPI number 1720150154

Practice location

411 Bertha Wallace Dr
Irvine, KY 40336-9418
Phone
(606) 723-5153
Fax
(606) 723-7765

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NPI record

NPI
1720150154
Entity type
Organization (Type 2)
Enumeration date
November 14, 2006
Last updated
April 1, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

111 W Michigan St
Milwaukee, WI 53203-2903
Phone
(414) 908-8119
Fax
(414) 908-7105

Authorized official

Name
Donna Jo Maassen
Title
Director of Compliance
Phone
(414) 908-8119

Other names

  • Day Break

About Extendicare Homes, Inc.

Extendicare Homes, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 411 Bertha Wallace Dr, Irvine, KY 40336-9418. The NPI number 1720150154 was assigned on November 14, 2006 and the record was last updated on April 1, 2008.

The authorized official for this organization is Donna Jo Maassen, Director of Compliance.

Frequently asked questions

What is the NPI number of Extendicare Homes, Inc.?

The NPI number is 1720150154.

What is the phone number of Extendicare Homes, Inc.?

The phone number listed for the practice location is (606) 723-5153.

Where is Extendicare Homes, Inc. located?

411 Bertha Wallace Dr, Irvine, KY 40336-9418.

What is the taxonomy code for Extendicare Homes, Inc.?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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