Organization Active NPI

Lincoln Manor Healthcare LLC

Doing business as Lincoln Manor

  • Skilled Nursing Facility
  • Decatur, IL
National Provider Identifier
1891141818
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0054346 Issued in IL
Legal business name
LINCOLN MANOR HEALTHCARE LLC
Doing business as
Lincoln Manor
Practice address
2650 N Monroe St
Decatur, IL 62526-3251
Phone
(217) 875-1973
NPI assigned
May 9, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Zvi Feiner
Title
Manager
Phone
(847) 568-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0054346 IL Primary

Addresses

Primary practice location

2650 N Monroe St
Decatur, IL 62526-3251

Mailing address

2650 N Monroe St
Decatur, IL 62526-3251

Other names 1

  • Lincoln Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1891141818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263251",
            "telephone_number": "217-875-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MANOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "FEINER",
        "authorized_official_first_name": "ZVI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-568-9690"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0054346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.