Organization Active NPI

Lincoln City, LLC

Doing business as Lincoln City Rehabilitation Center

  • Skilled Nursing Facility
  • Lincoln City, OR
National Provider Identifier
1639176779
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
800038 Issued in OR
Legal business name
LINCOLN CITY, LLC
Doing business as
Lincoln City Rehabilitation Center
Practice address
3011 NE 28TH St
Lincoln City, OR 97367-4518
Phone
(541) 994-8111
Fax
(541) 994-3399
NPI assigned
Jul 5, 2005
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mr. Mark Garber
Title
Chief Financial Officer
Phone
(541) 746-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 800038 OR Primary

Addresses

Primary practice location

3011 NE 28TH St
Lincoln City, OR 97367-4518

Mailing address

1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 746-1020

Other names 1

  • Lincoln City Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pinnacle Healthcare Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1639176779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-746-1020",
            "fax_number": "541-284-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-994-8111",
            "fax_number": "541-994-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, INC.",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-746-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln City Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.