LOGAN COMMUNITY RESOURCES, INC (NPI# 1003026642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003026642 |
| Entity Type | Organization |
| Organization Name | LOGAN COMMUNITY RESOURCES, INC |
| Practice Address |
2105 Wabash St South Bend IN 46613-1138 |
| Mailing Address |
Po Box 1049 South Bend IN 46624-1049 |
| Practice Telephone | 5742894831 |
| Practice Fax Number | 5742342075 |
| Mailing Telephone | 5742894831 |
| Mailing Fax Number | 5742342075 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAN HARSHMAN (CEO) |
| Authorized Official Telephone | 5742894831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497965222 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119 Spruce St, South Bend, IN 46616-1129 | 2007-05-23 |
| 1912117557 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3031 Bentley Ln, South Bend, IN 46615-3607 | 2007-05-23 |
| 1841400488 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1325 Brentwood Ct, South Bend, IN 46628-1326 | 2007-05-23 |
| 1316157126 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2804 Corpus Christi Dr, South Bend, IN 46628-3430 | 2007-05-23 |
| 1154531184 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20089 Lark Dr, South Bend, IN 46637-3023 | 2007-05-22 |
| 1164632105 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1602 Orkney Dr, South Bend, IN 46614-3562 | 2007-05-22 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1093083461 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2011-12-13 |
| Street Address |
2105 WABASH ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46613-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730330721 | Mindy Lynne Gradeless | Social Worker | 229 East Ewing Avenue, South Bend, IN 46613 | 2008-10-08 |
| 1689836405 | Staci-marie Balog Norman | Pharmacist | 760 West Cotter Street, South Bend, IN 46613 | 2008-07-02 |
| 1659386779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1945 Lincolnway East, South Bend, IN 46613 | 2006-07-29 |
| 1366702060 | Clara M Davis | Private Vehicle | 1719 W Dubail St, South Bend, IN 46613-1216 | 2012-05-29 |
| 1215923313 | Gregory Matthew Ferro | Family Medicine | 1832 Prairie Ave, South Bend, IN 46613-1400 | 2005-09-23 |
| 1508330002 | Homeworks Construction Inc | Durable Medical Equipment & Medical Supplies | 1511 Pulaski St, South Bend, IN 46613-1404 | 2019-01-17 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| 1881120798 | Shakira Desavoir | Counselor | 1402 S Michigan St, South Bend, IN 46613-2214 | 2017-05-11 |
| Find all providers in zip 46613 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346691177 | Miami Homecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1912 Miami St, South Bend, IN 46613-2915 | 2016-06-22 |
| 1497965222 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119 Spruce St, South Bend, IN 46616-1129 | 2007-05-23 |
| 1912117557 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3031 Bentley Ln, South Bend, IN 46615-3607 | 2007-05-23 |
| 1841400488 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1325 Brentwood Ct, South Bend, IN 46628-1326 | 2007-05-23 |
| 1316157126 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2804 Corpus Christi Dr, South Bend, IN 46628-3430 | 2007-05-23 |
| 1154531184 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20089 Lark Dr, South Bend, IN 46637-3023 | 2007-05-22 |
| 1164632105 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1602 Orkney Dr, South Bend, IN 46614-3562 | 2007-05-22 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1265553606 | Corvilla Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18443 Bulla Rd, South Bend, IN 46637-5426 | 2007-04-03 |
| 1477643286 | Partners In Opportunities, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Nimtz Pkwy, South Bend, IN 46628-6111 | 2006-10-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46613 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.