Lincoln Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LINCOLN AL OPCO LLC

Doing business as

Viva Senior Living at Lincoln Manor

Practice address

115 Medical Center Blvd
Fayetteville, TN 37334-2689

Phone

(931) 433-5000

NPI assigned

May 16, 2024

Last updated

May 16, 2024By 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

Jessica Miller

Title

Revenue Cycle Manager

Phone

(201) 388-4784

Specialties & licenses 1

Addresses

Other names 1

• Viva Senior Living at Lincoln Manor Doing business as

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1265281679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCCLELLEN ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481555",
            "telephone_number": "201-767-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL CENTER BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342689",
            "telephone_number": "931-433-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "201-388-4784"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viva Senior Living at Lincoln Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandy Lendley, CPM, IBCLC
• Joseph Lever
• Christina Levert
• Liberty Health & Wellness LLC- Fayetteville
• Lincare Inc.
• Lincoln Anesthesia Services PLLC
• Lincoln Care (Lincoln and Donalson Care Center)
• Lincoln County Vision Center
• Lincoln Ear Nose and Throat
• Lincoln Medical Center (Lincoln Medical Center Pharmacy)

• Assisted Living Facility in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.