Logan Valley Manor

LBN: Logan Valley Manor Llc
Logan Valley Manor is an health care organization with primary practice located at 1035 Diamond St , Lyons NE 68038-2501. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Logan Valley Manor Llc can be contacted via phone (402) 687-2636, or through Robertson, Garett J via phone (801) 296-5105.

Contact Information

Primary practice address
1035 Diamond St Lyons NE 68038-2501
Phone: (402) 687-2636
Fax: (402) 687-2638
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Garett J
Phone: (801) 296-5105

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 084001 Nebraska

Profile Details

NPI number 1396059051
LBN Legal business name Logan Valley Manor Llc
DBA Doing business as Logan Valley Manor
Authorized official Robertson, Garett J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2010
Last updated Jan 20th, 2012 - about 12 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 1396059051 NPPES
Nebraska MEDICAID 10026103200

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