Lincoln Community Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LINCOLN COMMUNITY NURSING HOME

Practice address

205 Timberline Dr
Lincoln, MO 65338

Phone

(660) 547-3322

NPI assigned

May 19, 2006

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Audrea Kathleen Kreisler

Title

Business Office MGR

Phone

(660) 547-3322

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174577829. Details of each certification follow.

• CCN 265761 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265761

Legal name

LINCOLN COMMUNITY NURSING HOME

Doing business as

LINCOLN COMMUNITY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 2003

Last certification

Jun 20, 2024

Beds

66

Ownership / control type

Other Nonprofit

Organization structure

GovernmentNon-profit

Enrollment address

205 Timberline Dr
Lincoln, MO 65338-2007

Nursing home name

LINCOLN COMMUNITY CARE CENTER

Listed as

Lincoln Community Care CenterCCN 265761 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jun 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6640.3 residents per day on average

Penalties (3 years)

1Fines totaling $13,667

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

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157
  NPD (past)
• Mark P Snell, D.O.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1427025600
  NPD (past)

Affiliated clinicians 2

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

• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157

  Nursing home

  Care Compare affiliation
• Mark P Snell, D.O.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1427025600

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1174577829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TIMBERLINE DR",
            "city": "LINCOLN",
            "state": "MO",
            "postal_code": "65338",
            "telephone_number": "660-547-3322",
            "fax_number": "660-547-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TIMBERLINE DR",
            "city": "LINCOLN",
            "state": "MO",
            "postal_code": "65338",
            "telephone_number": "660-547-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMUNITY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "KREISLER",
        "authorized_official_first_name": "AUDREA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "660-547-3322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101489607",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "031637",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Christine Decker, DC
• Haley Jordan Evans
• Kristin Greene
• Samantha Jayne Kelly, FNP-C
• Lyndsey Koll
• Lincoln Family Medicine P.C.
• April Ream

• Skilled Nursing Facility in Lincoln, MO
• Providers in Lincoln, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.