Manor of Lincoln, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

504010 Issued in NE

Legal business name

MANOR OF LINCOLN, INC

Doing business as

Southlake Village Rehabilitation and Care Center

Practice address

9401 Andermatt Dr
Lincoln, NE 68526-9507

Phone

(402) 476-3274

Fax

(402) 746-6395

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jack Dean Vetter

Title

President

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other names 1

• Southlake Village Rehabilitation and Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1407964240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 ANDERMATT DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269507",
            "telephone_number": "402-476-3274",
            "fax_number": "402-746-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 ANDERMATT DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269507",
            "telephone_number": "402-476-3274",
            "fax_number": "402-746-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR OF LINCOLN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "504010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Village Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Manning
• Michelle Kaye Manning, MD
• Ellen Mannschreck
• Kathy Mannschreck
• Marilyn J Mannschreck, APRN
• Maileen Manriquez
• Josi Mans
• Kelly Marie Mans, PTA
• Lori Manson
• Donna Manstedt, APRN

• Skilled Nursing Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.