Organization
LINCOLN LUTHERAN HOME OF RACINE INC
Active
Other names
Lincoln Village Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GLEN APPLE (CHIEF FINANCIAL OFFICER)
(262) 898-2722
Entity
Organization
Contact information
Practice address
1700 CA BECKER DRIVE, RACINE, WI 53406
(262) 637-9751
(262) 633-3045
Mailing address
2000 DOMANIK DRIVE, RACINE, WI 53404
(262) 633-0500
(262) 633-3045
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2269
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20129400
—
WI
Enumeration date
10/25/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us