Provider Demographics
NPI:1700176682
Name:LINCOLN HEALTHCARE, INC
Entity Type:Organization
Organization Name:LINCOLN HEALTHCARE, INC
Other - Org Name:BRIGHTSTAR OF WEST BEND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:LINCOLN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-677-9200
Mailing Address - Street 1:W227N16841 TILLIE LAKE COURT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037
Mailing Address - Country:US
Mailing Address - Phone:262-677-9200
Mailing Address - Fax:262-677-9208
Practice Address - Street 1:W227N16841 TILLIE LAKE COURT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037
Practice Address - Country:US
Practice Address - Phone:262-677-9200
Practice Address - Fax:262-677-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health