NORTH LOGAN HEALTH CARE CENTER
NPI 1104273689
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Danville, IL

Q: What is North Logan Health Care Center Investors LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Active since May 16, 2016CLIA 14D0673853 · Waiver

801 N LOGAN AVE, DANVILLE, IL 61832(217) 443-3106(217) 443-3187 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About North Logan Health Care Center NPPES

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

NORTH LOGAN HEALTH CARE CENTER (NPI 1104273689) is a healthcare organization registered as an oxygen equipment & supplies in Danville, Illinois and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jammie Adkins, Regional Director Of A/r, as its authorized official.

NPPES Registry Identity

NPI1104273689

Entity TypeOrganization

Primary Taxonomy332BX2000X

Legal Business NameNORTH LOGAN HEALTH CARE CENTER INVESTORS LLC

Location Address801 N LOGAN AVEDanville, IL 61832-3715

Mailing Address801 N Logan AveDanville, IL 61832-3715 · (217) 443-3106 · Fax (217) 443-3187

Phone(217) 443-3106

Fax(217) 443-3187

Organization SubpartNo

Authorized OfficialJammie AdkinsRegional Director Of A/r · (812) 598-2645

Enumeration DateMay 16, 2016

✔ NPI 1104273689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers

Taxonomy Code332BX2000X

801 N LOGAN AVE, Danville, IL 61832

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Other Names 1

Doing Business AsNorth Logan Health Care Center

Other Identifiers 1

Other=========801IL · Medicaid Dme

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 14D0673853

North Logan Healthcare Center · Danville, IL

Active · expires Aug 31, 2026

CLIA Number14D0673853

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorLorri A. Weaver

Laboratory Phone(217) 443-3106

Laboratory LocationNorth Logan Healthcare Center801 North Logan Ave, Danville, IL 61832

CLIA data matches this NPI record on: Address Phone

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

Other Providers at the Same Location NPPES 12

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

MRS. KATIE JO CLODFELTER LPTA

Physical Therapy Assistant