LOGAN COMMUNITY RESOURCES, INC (NPI# 1497965222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497965222 |
| Entity Type | Organization |
| Organization Name | LOGAN COMMUNITY RESOURCES, INC |
| Practice Address |
119 Spruce St South Bend IN 46616-1129 |
| 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 |
|---|---|---|---|---|
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 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 |
119 SPRUCE ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46616-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184861858 | Neil Gilbert Counseling & Healing LLC | Community/Behavioral Health | 914 Lincolnway W, South Bend, IN 46616-1152 | 2009-01-16 |
| 1417052796 | Neil Lee Gilbert | Social Worker | 914 Lincoln Way W, South Bend, IN 46616-1152 | 2006-09-13 |
| 1104357490 | Peter Martin | Student in an Organized Health Care Education/Training Program | 715 Park Ave, South Bend, IN 46616-1337 | 2017-03-27 |
| 1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
| 1669416020 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1333 Portage Ave, South Bend, IN 46616-1509 | 2006-06-16 |
| 1255967352 | John R Majewski | Student in an Organized Health Care Education/Training Program | 1402 Portage Ave, South Bend, IN 46616-1733 | 2020-03-20 |
| 1467494393 | Damian D. Dieter | Podiatrist | 1608 Portage Ave, South Bend, IN 46616-1740 | 2006-06-12 |
| 1104995885 | Trang Khanh Mai | Dentist | 1637 Portage Ave, South Bend, IN 46616-1743 | 2006-11-07 |
| 1841369535 | South Bend Family Dentistry, P.C. | Dentist | 1637 Portage Ave, South Bend, IN 46616-1743 | 2006-11-07 |
| 1437557683 | Danielle Loupee | Community Health Worker | 1529 Lagoon Ct, South Bend, IN 46616-2135 | 2014-12-19 |
| Find all providers in zip 46616 | ||||
| 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 |
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 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 | 46616 |
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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.