SOUTHLAKE VILLAGE REHABILITATION AND CARE CENTER
NPI 1407964240
Skilled Nursing Facility in Lincoln, NE
About Southlake Village Rehabilitation And Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHLAKE VILLAGE REHABILITATION AND CARE CENTER (NPI 1407964240) is a healthcare organization registered as a skilled nursing facility in Lincoln, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack Dean Vetter, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 28D0455351
Manor Of Lincoln, Inc · Lincoln, NEOther Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manor Of Lincoln, Inc's NPI number?
The NPI number for Manor Of Lincoln, Inc is 1407964240. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Southlake Village Rehabilitation And Care Center.
Where is Manor Of Lincoln, Inc located?
Manor Of Lincoln, Inc is located at 9401 Andermatt Dr, Lincoln, NE 68526. The listed phone number is (402) 476-3274.
What is Manor Of Lincoln, Inc's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Manor Of Lincoln, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D0455351) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Manor Of Lincoln, Inc was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.