Organization Active NPI

The Ambassador Lincoln, Inc.

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1811901259
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
504002 Issued in NE
Legal business name
THE AMBASSADOR LINCOLN, INC.
Practice address
4405 Normal Blvd
Lincoln, NE 68506-5551
Phone
(402) 488-2355
Fax
(402) 488-2779
NPI assigned
Jul 29, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Ms. Marcia K Schroeder
Title
Chief Executive Officer
Phone
(402) 873-7791

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 504002 NE
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 504002 NE
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 504002 NE
Skilled Nursing Facility 314000000X 504002 NE Primary

Addresses

Primary practice location

4405 Normal Blvd
Lincoln, NE 68506-5551

Mailing address

4405 Normal Blvd
Lincoln, NE 68506-5551
Phone (402) 873-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000137 NE Part A Provider - Skilled Nursing Facility 6709926470 Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811901259. Details of each certification follow.

Skilled nursing facility certification: CCN 285066

Legal name
THE AMBASSADOR LINCOLN, INC.
Doing business as
AMBASSADOR HEALTH LINCOLN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 24, 1984
Last certification
Nov 13, 2024
Beds
122
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
4405 Normal Blvd
Lincoln, NE 68506-5551
Nursing home name
AMBASSADOR HEALTH OF LINCOLN
Affiliated entity
AMBASSADOR HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ambassador Health of LincolnCCN 285066 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12281.2 residents per day on average
Chain
Ambassador Health4 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Lincoln, NE LLC, For-profit Adp of the SNF Apr 16, 2025
The Ambassador Group Inc Organization, Nebraska City, NE Corporation, Management services company Operational/Managerial Control Feb 9, 1981
Adp of the SNF Apr 16, 2025
Tyler J Juilfs Individual 5% Or Greater Indirect Ownership Interest Dec 30, 2024 5%
Corporate Officer Jul 1, 2021
Corporate Director Jul 1, 2021
Adp of the SNF Dec 30, 2024
Organization, Omaha, NE Corporation Adp of the SNF Apr 16, 2025
Organization, Kennett Square, PA LLC, Medical provider/supplier, For-profit Adp of the SNF Apr 16, 2025
Sally Juilfs Individual 5% Or Greater Indirect Ownership Interest Jun 5, 1985 44%
Corporate Officer Jun 5, 1985
Corporate Director Jun 5, 1985
Adp of the SNF Jun 5, 1985
Indirect Ownership Interest Jun 5, 1985 44%
Tyler Stoupa Individual Operational/Managerial Control Mar 10, 2025
Brandy Filliez Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Apr 16, 2025
Ambassador Holding Company Organization, Nebraska City, NE Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 5, 1985 100%
Adp of the SNF Jun 5, 1985
Direct Ownership Interest Jun 5, 1985 100%
First National Bank Omaha Organization, Omaha, NE Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 30, 2018 48%
Adp of the SNF Apr 16, 2025
Organization, Seward, NE LLC, Consulting firm Adp of the SNF Apr 16, 2025
Organization, Omaha, NE LLC, Consulting firm Adp of the SNF Apr 16, 2025
Brent B Shanholtz Individual Operational/Managerial ControlCfo Jan 1, 2013
Organization, Lincoln, NE Medical provider/supplier Adp of the SNF Apr 16, 2025
Organization, Lincoln, NE Management services company Adp of the SNF Apr 16, 2025
Timothy Juilfs Individual 5% Or Greater Indirect Ownership Interest Jun 5, 1985 44%
Corporate Officer Jun 5, 1985
Corporate Director Jun 5, 1985
Adp of the SNF Jun 5, 1985
Indirect Ownership Interest Jun 5, 1985 44%
Sean G Barry Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 30, 2025
Organization, Lincoln, NE Medical provider/supplier Adp of the SNF Apr 16, 2025
Organization, Omaha, NE Medical staffing company Adp of the SNF Apr 16, 2025
Arif a Sattar Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 30, 2025
Organization, Nebraska City, NE Financial institution Adp of the SNF Apr 16, 2025
Michael D. Lange Individual Operational/Managerial Control Dec 9, 2021
Adp of the SNF Jan 30, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1811901259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065551",
            "telephone_number": "402-873-8507",
            "fax_number": "402-873-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065551",
            "telephone_number": "402-488-2355",
            "fax_number": "402-488-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBASSADOR LINCOLN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-873-7791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "504002",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "504002",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "504002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "504002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.