Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Irvine, KY, holding Type 2 (organization) NPI 1063587251 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063587251 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Extendicare Homes, Inc. |
| Other name | <Unavail> |
| Practice address | 411 BERTHA WALLACE DR, Irvine, KY, 40336 |
| Phone | 6067235153 |
| Fax | 6067237765 |
| Enumeration date | 2006-11-22 |
| Last updated in NPPES | 2008-04-01 |
Authorized official
| Name | Donna Maassen |
|---|---|
| Title | Director of Compliance |
| Phone | 4149088119 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12501219 | Medicaid | KY | — |
Copy-ready billing details
Provider: Extendicare Homes, Inc. NPI: 1063587251 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 411 BERTHA WALLACE DR, Irvine, KY, 40336
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720150154 | Extendicare Homes, Inc. | Organization | Skilled Nursing Facility | Irvine, KY |
| 1952508343 | Josophia Harl | Individual | Occupational Therapist | Irvine, KY |
| 1114124781 | Catherine Cooper | Individual | Occupational Therapist | Irvine, KY |
| 1952508475 | Leah Ison | Individual | Physical Therapy Assistant | Irvine, KY |
| 1639376155 | Krista Brandenburg | Individual | Physical Therapist | Irvine, KY |
| 1063619583 | Andrea Bledsoe | Individual | Speech-Language Pathologist | Irvine, KY |
| 1902003239 | Kimberley Hubbs | Individual | Occupational Therapist | Irvine, KY |
| 1942407176 | Rita Collins | Individual | Occupational Therapist | Irvine, KY |
Verify this record
Cross-check NPI 1063587251 against the authoritative CMS record: view Extendicare Homes, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Extendicare Homes, Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-01.