OrganizationActive
Extendicare
NPI 1336579069 · Skilled Nursing Facility · West Jefferson, OH
Extendicare is a Skilled Nursing Facility organization in West Jefferson, OH (NPI 1336579069).
Provider details
- NPI number
- 1336579069
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Long, PT(614) 432-6665
- License
- 9979 (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 W Main St
West Jefferson, OH 43162-1298
Phone: (614) 879-7661
Fax: (614) 879-7604
Street-level locationGet directions
Mailing address
375 W Main St
West Jefferson, OH 43162-1298
Registry dates
- Enumerated
- 2013-11-15
- Last updated
- 2013-11-15
Frequently asked questions
- What is Extendicare's NPI number?
- Extendicare's National Provider Identifier (NPI) is 1336579069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extendicare?
- Extendicare is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Extendicare located?
- Extendicare's practice location on file with NPPES is 375 W Main St, West Jefferson, OH 43162-1298.
- What is Extendicare's phone number?
- The practice phone number listed in the NPPES registry for Extendicare is (614) 879-7661.
- Who is the authorized official for Extendicare?
- The authorized official listed on Extendicare's NPPES record is Anthony Long, PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extendicare's NPI active?
- Yes — Extendicare's NPI (1336579069) is active in the NPPES registry as of the last update on 2013-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.