Lincoln Village Convalescent Center

LBN: Lincoln Lutheran Home Of Racine Inc
Lincoln Village Convalescent Center is an health care organization with primary practice located at 1700 Ca Becker Drive , Racine WI 53406. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lincoln Lutheran Home Of Racine Inc can be contacted via phone (262) 637-9751, or through Apple, Jerry Glen via phone (262) 898-2722.

Contact Information

Primary practice address
1700 Ca Becker Drive Racine WI 53406
Phone: (262) 637-9751
Fax: (262) 633-3045
Website:
Map and Directions
Authorized official contact:
Name: Apple, Jerry Glen
Phone: (262) 898-2722

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2269 Wisconsin

Profile Details

NPI number 1215011317
LBN Legal business name Lincoln Lutheran Home Of Racine Inc
DBA Doing business as Lincoln Village Convalescent Center
Authorized official Apple, Jerry Glen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215011317 NPPES
Wisconsin MEDICAID 20129400

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