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Lincoln Lutheran Community Care Corporation

NPI 1871677963ActiveOrganization· Skilled Nursing Facility· Racine, WI

Skilled Nursing Facility in Racine, Wisconsin, registered in NPPES in October 2006, part of Lincoln Lutheran Home of Racine Inc. The authorized official on file is Fred Richard Bova, CPA, Chief Financial Officer.

Overview

NPI1871677963
StatusActive
Entity typeOrganization (subpart)
Parent organizationLincoln Lutheran Home of Racine Inc.
NPI issuedOct 25, 2006
Last updated in NPPESFeb 16, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X3179WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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