Lincoln Glen Skilled Nursing Facility
NPI 1093704249ActiveOrganization· Skilled Nursing Facility· San Jose, CA
Skilled Nursing Facility in San Jose, California, registered in NPPES in October 2005. The authorized official on file is James Bradley Mortensen, LNHA, Executive Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1093704249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2005 |
| Last updated in NPPES | Dec 13, 2024 |
| Certified by provider | Dec 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 31400000X | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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