MEDICARE: LINCOLN MANOR, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	030000313	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043219371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN MANOR, INC.

Provider Business Mailing Address
First Line	:	4020 SIERRA COLLEGE BLVD
Second Line	:	STE 190
City	:	ROCKLIN
State	:	CA
Zip	:	95677-3906
Country	:	US
Telephone Number	:	916-624-6230
Fax Number	:	916-624-6249

Provider Business Practice Location Address
First Line	:	1550 3RD ST
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-1576
Country	:	US
Telephone Number	:	916-645-7761
Fax Number	:	916-645-1767

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	LARRY E BEAR
Credential	:
Telephone Number	:	916-624-6230

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	06/10/2008

Similar Medicare Providers

1306144530 — VIOLET HOLDINGS, LLC
Practice Location Address:

1550 3RD ST
LINCOLN, CA
95648-1576

Practice Phone: 916-645-7761
Practice Fax:

1477036804 — MELANIE HARRINGTON
Practice Location Address:

1550 3RD ST
LINCOLN, CA
95648-1576

Practice Phone: 650-235-5449
Practice Fax:

1821558032 — JULIE ANN JACKSON DPT
Practice Location Address:

1550 3RD ST
LINCOLN, CA
95648-1576

Practice Phone: 916-645-7761
Practice Fax:

1184686123 — TONI B MOREHOUSE M.A. CCC-SLP
Practice Location Address:

1550 S 70TH ST STE 200
LINCOLN, NE
68506-1576

Practice Phone: 402-480-3152
Practice Fax: 402-904-7651

1043224660 — MARY LOU PAINE PH.D., L.P.
Practice Location Address:

1550 S 70TH ST , SUITE 101
LINCOLN, NE
68506-1576

Practice Phone: 402-488-0077
Practice Fax: 402-488-0017

1083628671 — JASON CHRISTENSEN L.M.H.P.
Practice Location Address:

1550 S 70TH ST , SUITE 101
LINCOLN, NE
68506-1576

Practice Phone: 402-488-0077
Practice Fax: 402-488-0017

Directions to “LINCOLN MANOR, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.