Extendicare Homes, Inc.
Extendicare Homes, Inc. is a healthcare organization registered as Skilled Nursing Facility in Irvine, KY, holding Type 2 (organization) NPI 1720150154 since 2006. The authorized official on file is Donna Maassen, Director of Compliance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720150154 |
|---|---|
| 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 | 2006-11-14 |
| 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 |
|---|---|---|---|
| 43000611 | Medicaid | KY | — |
Copy-ready billing details
Provider: Extendicare Homes, Inc. NPI: 1720150154 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 411 BERTHA WALLACE DR, Irvine, KY, 40336
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063587251 | 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 1720150154 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
What is a Type 2 NPI?
What type of organization is Extendicare Homes, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-01.