Lancaster Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LANCASTER MANOR

Practice address

1016 N Military Ave
Green Bay, WI 54303-4412

Phone

(920) 405-0632

Fax

(920) 499-1191

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Katherine R Tegen

Title

Manager

Phone

(920) 378-5839

Specialties & licenses 1

Addresses

Other names 1

• Marla Vista Gardens Memory Care of Green Bay, LLC 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": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1679892236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3124 VAN ROY RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153982",
            "telephone_number": "920-574-3833",
            "fax_number": "920-574-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034412",
            "telephone_number": "920-405-0632",
            "fax_number": "920-499-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "TEGEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-378-5839"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marla Vista Gardens Memory Care of Green Bay, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T Lamere, ATC
• Lamers Bus Lines, Inc.
• Lori Ann Lamers, PT0
• Frederick J Lamont, MD
• Frank James Lamphere, CRNA
• Amanda Rose Landolt, FNP-C
• Emily K Landree, DDS
• Michael Leroy Landrum, M.D.
• Sandra Marie Landwehr, OD
• Karen M Lane, DO

• Assisted Living Facility in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.