Logan Community Resources, Inc
LBN: Logan Community Resources, Inc
Logan Community Resources, Inc is an health care organization with primary practice located at 2505 E Jefferson Blvd , South Bend IN 46615-2635. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Logan Community Resources, Inc can be contacted via phone (574) 289-4831, or through Carter, Sharron via phone (574) 289-4831.
Contact Information
Primary practice address
2505 E Jefferson Blvd
South Bend IN 46615-2635
Phone: (574) 289-4831
Fax: (574) 234-2075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1093083461 |
|---|---|
| LBN Legal business name | Logan Community Resources, Inc |
| DBA Doing business as | |
| Authorized official | Carter, Sharron |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093083461 | NPPES |
| Indiana | MEDICAID | 201036530 |
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