Pilgrim Manor

LBN: Careage Of Logansport, Inc.
Pilgrim Manor is an health care organization with primary practice located at 222 Parkview Street , Plymouth IN 46563. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Careage Of Logansport, Inc. can be contacted via phone (574) 936-9943, or through Hull, Kristi via phone (574) 722-0307.

Contact Information

Primary practice address
222 Parkview Street Plymouth IN 46563
Phone: (574) 936-9943
Fax: (574) 936-4310
Website:
Map and Directions
Authorized official contact:
Name: Hull, Kristi
Phone: (574) 722-0307

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 05-000030-1 Indiana
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05-000030-1 Indiana

Profile Details

NPI number 1093715468
LBN Legal business name Careage Of Logansport, Inc.
DBA Doing business as Pilgrim Manor
Authorized official Hull, Kristi
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 7th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093715468 NPPES
Indiana Other 100275260 ALTERNATE MEDICAID #
Indiana Other 100275260 ALTERNATE MEDICAID #
Indiana Other 000000097805 ALTERNATE MEDICAID #
Indiana MEDICAID 100275260A ALTERNATE MEDICAID #

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