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LOGAN COMMUNITY RESOURCES, INC
NPI 1093083461
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Bend, IN

Active since December 13, 2011
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615(574) 289-4831(574) 234-2075 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Community Resources, Inc NPPES

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

LOGAN COMMUNITY RESOURCES, INC (NPI 1093083461) 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 December 2011. The organization lists Sharron Carter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093083461
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLOGAN COMMUNITY RESOURCES, INC
Location Address2505 E JEFFERSON BLVDSouth Bend, IN 46615-2635
Mailing Address2505 E Jefferson BlvdSouth Bend, IN 46615-2635 · (574) 289-4831 · Fax (574) 234-2075
Phone(574) 289-4831
Fax(574) 234-2075
Organization SubpartNo
Authorized OfficialSharron CarterCfo · (574) 289-4831
Enumeration DateDecember 13, 2011
✔ NPI 1093083461 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.
2505 E JEFFERSON BLVD, South Bend, IN 46615
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Other Identifiers 1

Medicaid201036530IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN M SAYRE MSW
Social Worker
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
ELLEN JEAN EATON OTR
Occupational Therapist
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-3945
CAMRON BRYCE HOOTON
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
RHIANNON MAY MCCULLOUGH
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
LYLA BRENNEMAN
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
ALEXOUS BROWN
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
TANIA ANDERSON
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
SARAH BAKER
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831

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 1093083461. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Logan Community Resources, Inc located?

Logan Community Resources, Inc is located at 2505 E Jefferson Blvd, South Bend, IN 46615. 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.

When was this NPI record last updated?

The NPPES record for Logan Community Resources, Inc was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.