OrganizationActive
Extendicare Homes, Inc.
NPI 1417021098 · Skilled Nursing Facility · Pembroke, KY
Extendicare Homes, Inc. is a Skilled Nursing Facility organization in Pembroke, KY (NPI 1417021098).
Provider details
- NPI number
- 1417021098
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Maassen, Director of Compliance(414) 908-8119
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
124 W Nashville St
Pembroke, KY 42266-9763
Phone: (270) 475-4227
Fax: (270) 475-4173
Street-level locationGet directions
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Other names (DBA / former)
- Doing business as
- Pembroke Nursing and Rehabilitation Center
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2009-09-18
Frequently asked questions
- What is Extendicare Homes, Inc.'s NPI number?
- Extendicare Homes, Inc.'s National Provider Identifier (NPI) is 1417021098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extendicare Homes, Inc.?
- Extendicare Homes, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Extendicare Homes, Inc. located?
- Extendicare Homes, Inc.'s practice location on file with NPPES is 124 W Nashville St, Pembroke, KY 42266-9763.
- What is Extendicare Homes, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Extendicare Homes, Inc. is (270) 475-4227.
- Who is the authorized official for Extendicare Homes, Inc.?
- The authorized official listed on Extendicare Homes, Inc.'s NPPES record is Donna Maassen, Director of Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extendicare Homes, Inc.'s NPI active?
- Yes — Extendicare Homes, Inc.'s NPI (1417021098) is active in the NPPES registry as of the last update on 2009-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.