Lincoln Glen Skilled Nursing Facility

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

31400000X Issued in CA

Legal business name

LINCOLN GLEN SKILLED NURSING FACILITY

Practice address

2671 Plummer Ave
San Jose, CA 95125-4867

Phone

(408) 265-3222

Fax

(408) 448-1533

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

James Bradley Mortensen, LNHA

Title

Executive Director

Phone

(408) 757-8580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555363

Legal name

LINCOLN GLEN SKILLED NURSING FACILITY

Doing business as

LINCOLN GLEN SKILLED NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1989

Last certification

Mar 24, 2025

Beds

59

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Oct 1, 1965 in CA

Enrollment address

2671 Plummer Avenue
San Jose, CA 95125-4867

Nursing home name

LINCOLN GLEN SKILLED NURSING

Listed as

Lincoln Glen Skilled NursingCCN 555363

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jul 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5952.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 2

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

• Dominic Maung Chiong, M.D.

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1093749715

  Nursing home

  Care Compare affiliation
• Daniel Yung Tse, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1437258027

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1093704249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 PLUMMER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254867",
            "telephone_number": "408-265-3222",
            "fax_number": "408-448-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 PLUMMER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254867",
            "telephone_number": "408-265-3222",
            "fax_number": "408-448-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN GLEN SKILLED NURSING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-757-8580",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "31400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi-Fan Lin
• Ying Lin, PHARMD
• Yu-Ju Lin
• Damian Eric Linares
• Lincare Inc
• Linda Huynh, DDS, Inc.
• Linda RX Pharmacy Inc
• Linda RX Pharmacy Inc
• Sarah Lindberg
• Matthew E Linder

• Skilled Nursing Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.