LOGAN COMMUNITY RESOURCES, INC
NPI 1003026642
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Bend, IN

Q: What is Logan Community Resources, Inc's NPI number?

The NPI number for Logan Community Resources, Inc is 1003026642. It was assigned to this organization in the NPPES registry on May 23, 2007.

Q: What is Logan Community Resources, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since May 23, 2007CLIA 15D0919942 · Waiver

2105 WABASH ST, SOUTH BEND, IN 46613(574) 289-4831(574) 234-2075 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Logan Community Resources, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN COMMUNITY RESOURCES, INC (NPI 1003026642) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in South Bend, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Dan Harshman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003026642

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameLOGAN COMMUNITY RESOURCES, INC

Location Address2105 WABASH STSouth Bend, IN 46613-1138

Mailing AddressPo Box 1049South Bend, IN 46624-1049 · (574) 289-4831 · Fax (574) 234-2075

Phone(574) 289-4831

Fax(574) 234-2075

Organization SubpartNo

Authorized OfficialDan HarshmanCeo · (574) 289-4831

Enumeration DateMay 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003026642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2105 WABASH ST, South Bend, IN 46613

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0919942

Logan Community Resource, Inc · South Bend, IN

Active · expires Feb 13, 2027

CLIA Number15D0919942

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateFebruary 14, 2025

Certificate Expiration DateFebruary 13, 2027

Laboratory DirectorCheryl A. Silverberg

Laboratory Phone(574) 289-4831

Laboratory LocationLogan Community Resource, Inc3621 Boland Dr Cheryl Groves, Director Group Living, South Bend, IN 46628

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Community Resources, Inc's NPI number?

The NPI number for Logan Community Resources, Inc is 1003026642. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Logan Community Resources, Inc located?

Logan Community Resources, Inc is located at 2105 Wabash St, South Bend, IN 46613. The listed phone number is (574) 289-4831.

What is Logan Community Resources, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Logan Community Resources, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0919942) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Logan Community Resources, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.