LINCOLN PARK MANOR
NPI 1346248804
Skilled Nursing Facility in Kettering, OH
NPI Status: Active since July 08, 2005
Contact Information
694 ISAAC PRUGH WAY
KETTERING, OH
ZIP 45429
Phone: (937) 297-4300
Fax: (937) 297-4199
- Organization
- Skilled Nursing Facility
- Accepts Insurance
About LINCOLN PARK MANOR
This page provides the complete NPI Profile along with additional information for Lincoln Park Manor, a provider established in Kettering, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1346248804 assigned on July 2005. The practitioner's primary taxonomy code is 314000000X with license number 1915N (OH). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Lincoln Park Manor. The authorized official of this NPI record is Mr. Jack Goodwin (Owner)
- NPI
- 1346248804
- Provider Legal Name
- LINCOLN PARK ASSOCIATES II LTD PTR
- Other Organization Name
- LINCOLN PARK MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 694 ISAAC PRUGH WAY KETTERING, OH 45429
- Location Phone
- (937) 297-4300
- Location Fax
- (937) 297-4199
- Mailing Address
- 694 ISAAC PRUGH WAY KETTERING, OH 45429
- Mailing Phone
- (937) 297-4300
- Mailing Fax
- (937) 297-4199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2005
- Last Update Date
- 12-22-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 1915N
- License State
- OH
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | 1915R (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 365773 | MEDICARE ID-TYPE UNSPECIFIED (04) | MEDICARE PROVIDER NUMBER |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 4 | 8 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 4 | 16 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 4 + 1 + 6 + 8 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1346248804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811256373 | MR. JOHN EDWARD THORP RN Individual | Registered Nurse | 694 ISAAC PRUGH WAY KETTERING, OH 45429 (937) 297-4300 |
| 1558949602 | THE LAURELS OF KETTERING, LLC Organization | Skilled Nursing Facility | 694 ISAAC PRUGH WAY KETTERING, OH 45429 (513) 319-5371 |
| 1669215208 | ALEXANDER CARL WOESTE Individual | Physical Therapist (Geriatrics) | 694 ISAAC PRUGH WAY KETTERING, OH 45429 (513) 502-2391 |
| 1376380964 | JENNIFER LYNN RUSSELL Individual | Speech-Language Pathologist | 694 ISAAC PRUGH WAY KETTERING, OH 45429 (937) 367-2566 |
| 1447005319 | BRITTANY NEIKOV OTR Individual | Occupational Therapist | 694 ISAAC PRUGH WAY KETTERING, OH 45429 (937) 297-4300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346248804, enumerated in the NPI registry as an "organization" on July 08, 2005
The provider is located at 694 Isaac Prugh Way Kettering, Oh 45429 and the phone number is (937) 297-4300
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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