Organization Active NPI

Lincoln Knolls Health & Rehab LLC

  • Skilled Nursing Facility
  • Youngstown, OH
National Provider Identifier
1063307619
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLN KNOLLS HEALTH & REHAB LLC
Practice address
31 Maranatha CT
Youngstown, OH 44505-4970
Phone
(330) 746-5157
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Bryon D Womack
Title
Sole Member
Phone
(828) 334-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

31 Maranatha CT
Youngstown, OH 44505-4970

Mailing address

PO Box 1667
Hickory, NC 28603-1667
Phone (828) 324-8898

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1063307619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031667",
            "telephone_number": "828-324-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MARANATHA CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054970",
            "telephone_number": "330-746-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN KNOLLS HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "828-334-5323"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.