Organization
LINCOLN LUTHERAN COMMUNITY CARE CORPORATION
Active
Parent organization
LINCOLN LUTHERAN HOME OF RACINE INC.
Other names
Becker Shoop Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN LUTHERAN HOME OF RACINE INC.
Authorized official
FRED RICHARD BOVA JR. CPA (CHIEF FINANCIAL OFFICER)
(262) 898-2701
Entity
Organization
Contact information
Practice address
6101 16TH STREET, RACINE, WI 53406
(262) 637-7486
(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
3179
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20177300
—
WI
Enumeration date
10/25/2006
Last updated
02/16/2012
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