Active NPI
Lancaster Manor Rehabilitation Center LLC
- Skilled Nursing Facility
- Lincoln, NE
National Provider Identifier
1891026530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 504007
- Legal business name
- LANCASTER MANOR REHABILITATION CENTER LLC
- Practice address
- 1001 South St
Lincoln, NE 68502-2251 - Phone
- (402) 441-7101
- Fax
- (402) 441-6557
- NPI assigned
- Jan 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Rothner
- Title
- Manager
- Phone
- (847) 905-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 504007 | NE | |
| Skilled Nursing Facility | 314000000X | 504007 | NE | Primary |
Addresses
Primary practice location
1001 South St
Lincoln, NE 68502-2251
Mailing address
1001 South St
Lincoln, NE 68502-2251
Phone (402) 441-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504007 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1891026530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685022251",
"telephone_number": "402-441-7101",
"fax_number": "402-441-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685022251",
"telephone_number": "402-441-7101",
"fax_number": "402-441-6557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER MANOR REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "ROTHNER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-905-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NE",
"license": "504007",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "504007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504007",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.