EXTENDICARE HEALTH SERVICES – NPI #1083002521
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

EXTENDICARE HEALTH SERVICES is a skilled nursing facility (SNF) located in LEAVENWORTH, IN. NPPES has assigned the NPI number 1083002521 to EXTENDICARE HEALTH SERVICES on January 07, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTENDICARE HEALTH SERVICES below.

NPI Profile for
EXTENDICARE HEALTH SERVICES

NPI Number
1083002521
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTENDICARE HEALTH SERVICES
Primary location
712 W 2ND ST
LEAVENWORTH, IN 47137-2264
Phone: (812) 739-2292 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL MATTHEWS
PTA
Phone: (812) 739-2292
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
IN 06004780A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.