EXTENDICARE
NPI 1336579069
Skilled Nursing Facility in West Jefferson, OH

Active since November 15, 2013
375 W MAIN ST, WEST JEFFERSON, OH 43162(614) 879-7661(614) 879-7604 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extendicare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDICARE (NPI 1336579069) is a healthcare organization registered as a skilled nursing facility in West Jefferson, Ohio and active in the NPI registry since November 2013. The organization lists Anthony William Long, Pt, as its authorized official.

NPPES Registry Identity

NPI1336579069
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEXTENDICARE
Location Address375 W MAIN STWest Jefferson, OH 43162-1298
Mailing Address375 W Main StWest Jefferson, OH 43162-1298 · (614) 879-7661 · Fax (614) 879-7604
Fax(614) 879-7604
Organization SubpartNo
Authorized OfficialAnthony William LongPt · (614) 432-6665
Enumeration DateNovember 15, 2013
NPI 1336579069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 9979
Definition
(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.
375 W MAIN ST, West Jefferson, OH 43162

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
375 W MAIN ST
WEST JEFFERSON, OH 43162
Skilled Nursing Facility
375 W MAIN ST
WEST JEFFERSON, OH 43162
Occupational Therapist
375 W MAIN ST
WEST JEFFERSON, OH 43162
Occupational Therapy Assistant
375 W MAIN ST
WEST JEFFERSON, OH 43162
Physical Therapy Assistant
375 W MAIN ST
WEST JEFFERSON, OH 43162
Physical Therapist (Geriatrics)
375 W MAIN ST
WEST JEFFERSON, OH 43162
Skilled Nursing Facility
375 W MAIN ST
WEST JEFFERSON, OH 43162
Speech-Language Pathologist
375 W MAIN ST
WEST JEFFERSON, OH 43162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extendicare's NPI number?

The NPI number for Extendicare is 1336579069. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is Extendicare located?

Extendicare is located at 375 W Main St, West Jefferson, OH 43162. The listed phone number is (614) 879-7661.

What is Extendicare's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Extendicare was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.