Lincoln Park Associates II LTD PTR

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1915N Issued in OH

Legal business name

LINCOLN PARK ASSOCIATES II LTD PTR

Practice address

694 Isaac Prugh Way
Kettering, OH 45429-3481

Phone

(937) 297-4300

Fax

(937) 297-4199

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jack Goodwin

Title

Owner

Phone

(513) 588-4748

Specialties & licenses 2

Addresses

Other names 1

• Lincoln Park Manor Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1346248804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 ISAAC PRUGH WAY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293481",
            "telephone_number": "937-297-4300",
            "fax_number": "937-297-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 ISAAC PRUGH WAY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293481",
            "telephone_number": "937-297-4300",
            "fax_number": "937-297-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK ASSOCIATES II LTD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-588-4748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1915R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1915N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy E Liesner, MD
• Life Changing Family Care, LLC
• Jennifer L Light, CRNA
• Jennifer Michele Lim, MD
• Juan David Linares Velandia, MD
• Lincoln Park Surgery Center
• Stephen Linder, RPH
• Melissa R Lippincott, PA-C
• Nancy Wenchin Liu, MD
• Ganesh Loganathan, DENTIST

• Skilled Nursing Facility in Kettering, OH
• Providers in Kettering, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.