Organization Active NPI

Lincoln Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Hamlin, WV
National Provider Identifier
1306902242
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
117 Issued in WV
Legal business name
LINCOLN NURSING & REHABILITATION CENTER LLC
Practice address
200 Monday Dr
Hamlin, WV 25523-1033
Phone
(304) 824-3133
Fax
(304) 824-7577
NPI assigned
Dec 28, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mr. Todd Jones
Title
Executive Vice President
Phone
(304) 344-1623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 117 WV Primary

Addresses

Primary practice location

200 Monday Dr
Hamlin, WV 25523-1033

Mailing address

200 Monday Dr
Hamlin, WV 25523-1033
Phone (304) 824-3133

Other identifiers 1

IdentifierTypeStateIssuer
0002834000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1306902242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MONDAY DR",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231033",
            "telephone_number": "304-824-3133",
            "fax_number": "304-824-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MONDAY DR",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231033",
            "telephone_number": "304-824-3133",
            "fax_number": "304-824-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "304-344-1623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002834000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.