Active NPI
Lincoln Park Manor, Inc.
- Home Health Agency
- Salina, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LINCOLN PARK MANOR, INC.
- Practice address
- 113 S 5TH St
Salina, KS 67401-2803 - Phone
- (785) 420-0095
- Fax
- (833) 256-7073
- NPI assigned
- Apr 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Marie Wetzel
- Title
- Alternate Administrator
- Phone
- (785) 420-0095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
113 S 5TH St
Salina, KS 67401-2803
Mailing address
113 S 5TH St
Salina, KS 67401-2803
Phone (785) 420-0095
Other practice location 1
922 N 5th St
Lincoln, KS 67455-1602
Phone (785) 524-4428 ext. 101
Other names 2
- Lincoln Park Home Health
- Lincoln Park Manor Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091028000855 | KS | Part A Provider - Home Health Agency | 9638221054 | Practice locations: Lincoln, KS |
Home health agency certification: CCN 177274A
- Legal name
- LINCOLN PARK MANOR INC
- Doing business as
- LINCOLN PARK MANOR INC HHA
- Organization structure
- Corporation
- Incorporated
- Mar 26, 2009 in KS
- Enrollment address
- 922 N 5TH St
Apt 5
Lincoln, KS 67455-1602
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lincoln Park Manor Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 21, 1994
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2159918 | Lincoln Park Manor, Inc HHA | Certificate of waiver | Dec 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln Park Manor Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Lincoln, KS
- NPI 1689816084
-
- Community Based Hospice Care Agency
- Lincoln, KS
- NPI 1700028909
-
- Skilled Nursing Facility
- Lincoln, KS
- NPI 1902049638
Locations
922 N 5th St
Apt 5
Lincoln, KS 67455
Phone (785) 420-0095
922 N 5th St
#466
Lincoln, KS 67455
Phone (785) 524-4428
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ryan J Grace | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 | 51% |
| Operational/Managerial Control | Aug 25, 2017 | 100% | |
| Michelle Wetzel | Contracted Managing Employee | Aug 1, 2020 | 75% |
| Operational/Managerial Control | Aug 1, 2020 | 100% | |
| Eric J Huebert | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 | 49% |
| Operational/Managerial Control | Apr 1, 2022 | 49% | |
| Lincoln Park Manor Inc | 5% Or Greater Direct Ownership Interest | Aug 1, 2009 | 100% |
| Operational/Managerial Control | Aug 1, 2009 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Skilled Nursing Facility
- Lincoln, KS
- NPI 1902049638
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| QS Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 23, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Lincoln, KS
- NPI 1902049638
5% Or Greater Direct Ownership Interest
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Belleville, KS
- NPI 1154854008
Home health agency
-
- Sports Medicine (Family Medicine) Physician
- Salina, KS
- NPI 1376072751
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1326280561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S 5TH ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674012803",
"telephone_number": "785-420-0095",
"fax_number": "833-256-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S 5TH ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674012803",
"telephone_number": "785-420-0095",
"fax_number": "833-256-7073"
}
],
"practiceLocations": [
{
"address_1": "922 N 5th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "KS",
"postal_code": "674551602",
"country_code": "US",
"telephone_number": "785-524-4428 x101",
"fax_number": "785-524-3522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LINCOLN PARK MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-02",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "WETZEL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "785-420-0095"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln Park Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lincoln Park Manor Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lincoln Park Manor Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.