Organization Active NPI

Lincoln Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Decatur, IL
National Provider Identifier
1194017566
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLN REHABILITATION CENTER LLC
Practice address
2650 N Monroe St
Decatur, IL 62526-3251
Phone
(217) 875-1973
Fax
(217) 875-2172
NPI assigned
May 4, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mr. Yosef Meystel
Title
Manager
Phone
(847) 673-6767

Specialties & licenses 1

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

Addresses

Primary practice location

2650 N Monroe St
Decatur, IL 62526-3251

Mailing address

8131 Monticello Ave
Skokie, IL 60076-3325
Phone (847) 673-6767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1194017566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325",
            "telephone_number": "847-673-6767",
            "fax_number": "847-673-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263251",
            "telephone_number": "217-875-1973",
            "fax_number": "217-875-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-673-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.