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Extendicare Homes, Inc.

Skilled Nursing Facility in Pembroke, KY · enumerated 2006 · authorized official Donna Maassen, Director of Compliance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417021098

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Registry record

Entity type Organization (Type 2)
Legal business name Extendicare Homes, Inc.
Other name <Unavail>
Practice address 124 W Nashville St, Pembroke, KY, 42266
Phone (270) 475-4227
Fax (270) 475-4173
Enumeration date Nov 17, 2006
Last updated in NPPES Sep 18, 2009

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
12504809 Medicaid KY -
12500880 Medicaid KY -

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.

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Frequently asked questions

Where is Extendicare Homes, Inc. located?
The practice location on file with NPPES is in Pembroke, KY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-18.