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:
Map and Directions
Authorized official contact:
Name: Carter, Sharron
Phone: (574) 289-4831

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093083461 NPPES
Indiana MEDICAID 201036530

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