Lincoln Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000159 Issued in TN

Legal business name

LINCOLN CARE

Practice address

501 Amana Ave
Fayetteville, TN 37334-3365

Phone

(931) 433-6146

Fax

(931) 433-0816

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Jane Atchley

Title

Administrator

Phone

(931) 433-6146

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Lincoln and Donalson Care Center Doing business as

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1891782405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AMANA AVE",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343365",
            "telephone_number": "931-433-6146",
            "fax_number": "931-433-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AMANA AVE",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343365",
            "telephone_number": "931-433-6146",
            "fax_number": "931-433-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "ATCHLEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-433-6146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000159",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440054",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045173",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452393",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "3112914",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln and Donalson Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Levert
• Liberty Health & Wellness LLC- Fayetteville
• Lincare Inc.
• Lincoln Al Opco LLC
• Lincoln Anesthesia Services PLLC
• Lincoln County Vision Center
• Lincoln Ear Nose and Throat
• Lincoln Medical Center
• Lincoln Medical Center
• Lincoln Medical Center

• Skilled Nursing Facility in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.