LINCOLN CITY REHABILITATION CENTER
NPI 1639176779
Skilled Nursing Facility in Lincoln City, OR

Active since July 05, 2005CLIA 38D0982662 · Waiver
3011 NE 28TH ST, LINCOLN CITY, OR 97367(541) 994-8111(541) 994-3399 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lincoln City Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINCOLN CITY REHABILITATION CENTER (NPI 1639176779) is a healthcare organization registered as a skilled nursing facility in Lincoln City, Oregon and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Mark Garber, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639176779
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLINCOLN CITY, LLC
Location Address3011 NE 28TH STLincoln City, OR 97367-4518
Mailing Address1077 Gateway LoopSpringfield, OR 97477-1114 · (541) 746-1020 · Fax (541) 284-7072
Fax(541) 994-3399
Organization SubpartYesParent: Pinnacle Healthcare, Inc.
Authorized OfficialMark GarberChief Financial Officer · (541) 746-1020
Enumeration DateJuly 5, 2005
Last NPPES UpdateFebruary 23, 2015
NPI 1639176779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OR · 800038
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3011 NE 28TH ST, Lincoln City, OR 97367

Other Names 1

Doing Business AsLincoln City Rehabilitation Center

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 38D0982662

Lincoln City Dialysis · Lincoln City, OR
Active · expires May 23, 2028
CLIA Number38D0982662
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorCamilia Makhyoun
Laboratory Phone(541) 996-2008
Laboratory LocationLincoln City Dialysis2817 NE West Devils Lake Rd, Lincoln City, OR 97367
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3011 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3011 NE 28TH ST
LINCOLN CITY, OR 97367
Home Health
3011 NE 28TH ST
LINCOLN CITY, OR 97367

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 Lincoln City, LLC's NPI number?

The NPI number for Lincoln City, LLC is 1639176779. It was assigned to this organization in the NPPES registry on July 5, 2005. The provider is doing business as Lincoln City Rehabilitation Center.

Where is Lincoln City, LLC located?

Lincoln City, LLC is located at 3011 NE 28th St, Lincoln City, OR 97367. The listed phone number is (541) 994-8111.

What is Lincoln City, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lincoln City, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0982662) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lincoln City, LLC was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.