MANOR OF LINCOLN, INC (NPI# 1407964240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407964240 |
| Entity Type | Organization |
| Organization Name | MANOR OF LINCOLN, INC |
| Other Organization Name | SOUTHLAKE VILLAGE REHABILITATION AND CARE CENTER |
| Practice Address |
9401 Andermatt Dr Lincoln NE 68526-9507 |
| Practice Telephone | 4024763274 |
| Practice Fax Number | 4027466395 |
| Mailing Telephone | 4024763274 |
| Mailing Fax Number | 4027466395 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | JACK DEAN VETTER (PRESIDENT) |
| Authorized Official Telephone | 4028953932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 504010 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southlake Village Rehabilitation and Care Center | Doing Business As Name - Organization |
| Street Address |
9401 ANDERMATT DR |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397743 | Anna Plettner-nelson | Speech-Language Pathologist | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2020-08-20 |
| 1184255564 | Heather Allison Jacobsen | Physical Therapy Assistant | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2020-02-04 |
| 1972164051 | Nick Armentrout | Physical Therapy Assistant | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-27 |
| 1518528843 | Aubrey Hinrichsen | Occupational Therapist | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-26 |
| 1568023174 | Claire M Grow | Physical Therapy Assistant | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-25 |
| 1710548532 | Laura Groteluschen | Physical Therapy Assistant | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-24 |
| 1568023224 | Erin Jayne Dick | Occupational Therapist | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-24 |
| 1952961203 | Miki Valenta | Physical Therapy Assistant | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-19 |
| 1528628286 | Renee Towne | Occupational Therapist | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-15 |
| 1114587045 | Adrianne Christine Lewandowski | Physical Therapist | 9401 Andermatt Dr, Lincoln, NE 68526-9507 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1710359161 | Bsl- Bn Commons Snf Operator LLC | Skilled Nursing Facility | 3 Harvest Cir, Lincoln, MA 01773-3214 | 2015-10-26 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| 1477965234 | Amanda Stamm | Skilled Nursing Facility | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2014-05-28 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| 1306174990 | Autumn Research | Skilled Nursing Facility | 5b S Commons, Lincoln, MA 01773-1114 | 2009-11-19 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.