Lincoln Highway Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00000 Issued in PA

Legal business name

LINCOLN HIGHWAY OPERATIONS LLC

Doing business as

PowerBack Exton
PowerBack Rehabilitation Exton

Practice address

545 Thomas Jones Way
Exton, PA 19341-1234

Phone

(505) 468-4742

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Michael T Berg

Title

Corp Officer

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other names 2

• PowerBack Exton Doing business as
• PowerBack Rehabilitation Exton Doing business as

Locations

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649789884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "16104446350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 THOMAS JONES WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411234",
            "telephone_number": "505-468-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HIGHWAY OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CORP OFFICER",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PowerBack Exton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PowerBack Rehabilitation Exton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Exton, PA
• Providers in Exton, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.