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LOGAN PARK CARE CENTER, INC.
NPI 1114915519
Nursing Facility/Intermediate Care Facility in Logan, WV

Active since October 10, 2005
1000 W PARK AVE, LOGAN, WV 25601(304) 752-8761(304) 752-8768 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Park Care Center, Inc. NPPES

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

LOGAN PARK CARE CENTER, INC. (NPI 1114915519) is a healthcare organization registered as a nursing facility/intermediate care facility in Logan, West Virginia and active in the NPI registry since October 2005. The organization lists Thomas Sphatt, Chief Of Operations & Finance, as its authorized official.

NPPES Registry Identity

NPI1114915519
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLOGAN PARK CARE CENTER, INC.
Location Address1000 W PARK AVELogan, WV 25601-3155
Mailing Address1000 W Park AveLogan, WV 25601-3155 · (304) 752-8761 · Fax (304) 752-8768
Phone(304) 752-8761
Fax(304) 752-8768
Organization SubpartNo
Authorized OfficialThomas SphattChief Of Operations & Finance · (304) 752-8761
Enumeration DateOctober 10, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114915519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in WV · 86
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1000 W PARK AVE, Logan, WV 25601
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Other Identifiers 1

Medicaid0003949000WV

Other Providers at the Same Location NPPES 3

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

TRINITY HEALTH CARE SERVICES OF LOGAN INC
Nursing Facility/Intermediate Care Facility
1000 W PARK AVE
LOGAN, WV 25601
Logan County (304) 752-8723
MR. DERRICK JASON BRUMFIELD MPT
Physical Therapist
1000 W PARK AVE
LOGAN, WV 25601
Logan County (304) 752-8723
MS. DANIELLE WHITE OTR
Occupational Therapist
1000 W PARK AVE
LOGAN, WV 25601
Logan County (304) 752-8723

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 Park Care Center, Inc.'s NPI number?

The NPI number for Logan Park Care Center, Inc. is 1114915519. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Logan Park Care Center, Inc. located?

Logan Park Care Center, Inc. is located at 1000 W Park Ave, Logan, WV 25601. The listed phone number is (304) 752-8761.

What is Logan Park Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Logan Park Care Center, 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.