NPIMap

Organization Active NPI

SNF Lincoln Operating Company LLC

Doing business as Old Cheney Rehabilitation

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1013434703
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SNF LINCOLN OPERATING COMPANY LLC
Doing business as
Old Cheney Rehabilitation
Practice address
5431 S 16TH St
Lincoln, NE 68512-1206
Phone
(531) 739-3200
Fax
(531) 739-3299
NPI assigned
Aug 24, 2017
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Jensen
Title
Director of Operations
Phone
(208) 757-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NE Primary

Addresses

Primary practice location

5431 S 16TH St
Lincoln, NE 68512-1206

Mailing address

PO Box 12269
Portland, OR 97212-0269
Phone (503) 236-0181

Other names 1

  • Old Cheney Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115002453 NE Part A Provider - Skilled Nursing Facility 0143586651 Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013434703. Details of each certification follow.

Skilled nursing facility certification: CCN 285299

Legal name
SNF LINCOLN OPERATING COMPANY LLC
Doing business as
OLD CHENEY REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 2017
Last certification
May 22, 2025
Beds
47
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 25, 2015 in DE
Enrollment address
5431 S 16TH St
Lincoln, NE 68512-1206

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heartland Ridge Care CenterCCN 285299 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4724.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Old Cheney Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Quest Ira Inc Organization, Houston, TX 5% Or Greater Direct Ownership Interest May 26, 2017 10.96%
Michele Dein Individual Corporate OfficerOperation Officer Feb 1, 2019
Operational/Managerial Control Feb 1, 2019
Promontory Healthcare Management LLC Organization, Portland, OR LLC Operational/Managerial Control Jan 1, 2020 50%
Ammon Walkers Limited Partnership Organization, Idaho Falls, ID 5% Or Greater Direct Ownership Interest May 26, 2017 12.33%
Zafar Azimov Individual 5% Or Greater Indirect Ownership Interest May 26, 2017 12.63%
Ira - Lcharvet Organization, San Antonio, TX 5% Or Greater Direct Ownership Interest May 26, 2017 10.96%
Casey I Huntsman Individual 5% Or Greater Direct Ownership Interest May 26, 2017 12.33%
Paul Andrew Glazer Individual 5% Or Greater Direct Ownership Interest May 26, 2017 13.7%
Renae Bright Individual Corporate OfficerBilling Officer Jan 1, 2020
James G Adamson Individual 5% Or Greater Indirect Ownership Interest May 26, 2017 18.89%
Corporate DirectorManaging Member May 26, 2017
Anna J Haynes Individual Corporate OfficerAuthorized Agent Feb 1, 2019
Promontory Healthcare Companies LLC Organization, Portland, OR LLC 5% Or Greater Direct Ownership Interest May 26, 2017 39.73%
Operational/Managerial Control May 26, 2017 39.73%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1013434703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12269",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972120269",
            "telephone_number": "503-236-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121206",
            "telephone_number": "531-739-3200",
            "fax_number": "531-739-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF LINCOLN OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-757-7663"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Cheney Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.