The Ambassador Lincoln, Inc.

Organization Active NPI Skilled Nursing Facility · Lincoln, NE

NPI 1811901259 · NPPES record last updated Aug 17, 2018

Key facts

NPI
1811901259
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
504002 (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
Organization subpart
No

Authorized official

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

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

Medicare Care Compare: Nursing home

Listed as
Ambassador Health of Lincoln CCN 285066
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
Active (Provider of Services file)
Certified beds
122 · 81.2 residents per day on average
Chain
Ambassador Health (4 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

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
Corporation · Proprietary
Enrollment address
4405 Normal Blvd
Lincoln, NE 68506-5551
Nursing home name
AMBASSADOR HEALTH OF LINCOLN
Affiliated entity
AMBASSADOR HEALTH

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 Control
Cfo
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

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X 504002 NE
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 504002 NE
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X 504002 NE
Skilled Nursing Facility 314000000X 504002 NE Yes

Addresses

Primary practice location

4405 Normal Blvd
Lincoln, NE 68506-5551

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
0659797MedicaidIA

Other providers in Lincoln, NE

All providers in Lincoln, NE · Skilled Nursing Facility in Nebraska

Sources for this page

Verify at the official NPI Registry.