Organization Active NPI

Lancaster Manor Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1891026530
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
504007 Issued in NE
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

Updated by the provider on Jan 20, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
504007MedicaidNE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.