NORTH LOGAN HEALTHCARE
NPI 1275764466
Skilled Nursing Facility in Danville, IL
- Organization
- Skilled Nursing Facility
- CLIA Number: 14D0673853
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About NORTH LOGAN HEALTHCARE
This page provides the complete NPI Profile along with additional information for North Logan Healthcare, a provider established in Danville, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275764466 assigned on August 2009. The practitioner's primary taxonomy code is 314000000X with license number 0046532 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Claire Jane Matheny Administator (Administrator)
- NPI
- 1275764466 Verify this NPI
- Provider Name
- NORTH LOGAN HEALTHCARE
- Entity Type
- Organization
- Location Address
- 801 N LOGAN AVE DANVILLE, IL 61832
- Location Phone
- (217) 443-3106
- Location Fax
- (217) 443-3187
- Mailing Address
- 801 N LOGAN AVE DANVILLE, IL 61832
- Mailing Phone
- (217) 443-3106
- Mailing Fax
- (217) 443-3184
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2009
- Last Update Date
- 08-05-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0046532
- License State
- IL
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0673853
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- LORRI A. WEAVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Logan Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
DANVILLE, IL 61832
DANVILLE, IL 61832
DANVILLE, IL 61832
DANVILLE, IL 61832
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275764466, enumerated as an "organization" on August 05, 2009.
The provider is located at 801 N LOGAN AVE DANVILLE, IL 61832 and the phone number is (217) 443-3106.
Skilled Nursing Facility with taxonomy code 314000000X.
