Lincoln Park Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LINCOLN PARK NURSING AND REHAB LLC

Doing business as

Lincoln Park Nursing and Rehab

Practice address

1700 C a Becker Dr
Racine, WI 53406-4714

Phone

(262) 637-9751

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Jacob Jeidel

Title

Manager

Phone

(917) 750-5089

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Park Nursing and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525061

Legal name

LINCOLN PARK NURSING AND REHAB LLC

Doing business as

LINCOLN PARK NURSING AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Nov 14, 2024

Beds

122

Ownership / control type

Individual

Multi-facility organization

EOM HEALTHCARE

Organization structure

LLCProprietary

Incorporated

Oct 20, 2022 in WI

Enrollment address

1700 C a Becker Dr
Racine, WI 53406-4714

Nursing home name

LINCOLN PARK NURSING AND REHAB LLC

Affiliated entity

SHLOMO HOFFMAN

Listed as

Lincoln Park Nursing and Rehab LLCCCN 525061 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12271.3 residents per day on average

Chain

Shlomo Hoffman10 facilities in the chain

Penalties (3 years)

2Fines totaling $182,618

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sandeep R Ramanujam, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1770756678

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1417664665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20876 SONRISA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331745",
            "telephone_number": "917-750-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 C A BECKER DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064714",
            "telephone_number": "262-637-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "JEIDEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-750-5089"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Light As a Feather Therapy
• Sasia Lile
• Lillie House
• Lincoln Lutheran Community Care Corporation
• Lincoln Lutheran Home of Racine Inc
• Samantha Lins
• Thomas J Linstroth, DDS
• Guisselle Maria Lizano Castillo, LPC
• Dawn M Llorca, DDS
• Emily L Lock, LCSW #8313-123

• Skilled Nursing Facility in Racine, WI
• Providers in Racine, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.