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LOGANSPORT AL, LLC
NPI 1629887062
Assisted Living Facility in Logansport, IN

Active since December 31, 2024CLIA 15D1036828 · Waiver
3901 HIGH ST, LOGANSPORT, IN 46947(574) 739-2134 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Logansport Al, Llc NPPES

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

LOGANSPORT AL, LLC (NPI 1629887062) is a healthcare organization registered as an assisted living facility in Logansport, Indiana and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Jonathan Litt, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1629887062
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLOGANSPORT AL, LLC
Location Address3901 HIGH STLogansport, IN 46947-2562
Mailing Address3901 High StLogansport, IN 46947-2562
Phone(574) 739-2134
Organization SubpartNo
Authorized OfficialJonathan LittSecretary/treasurer · (646) 844-3603
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1629887062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3901 HIGH ST, Logansport, IN 46947
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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 15D1036828

Logansport Al, LLC D/B/A Cedar Creek Of Logansport · Logansport, IN
Active · expires Feb 9, 2027
CLIA Number15D1036828
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorJennifer E. Poole
Laboratory Phone(574) 739-2134
Laboratory LocationLogansport Al, LLC D/B/A Cedar Creek Of Logansport3901 High Street, Logansport, IN 46947
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MOLLY PITTMAN OTR
Occupational Therapist
3901 HIGH ST
LOGANSPORT, IN 46947
Cass County (765) 210-4899
JEREMY WAYMAN PT
Physical Therapist
3901 HIGH ST
LOGANSPORT, IN 46947
Cass County (765) 210-4899

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 Logansport Al, LLC's NPI number?

The NPI number for Logansport Al, LLC is 1629887062. It was assigned to this organization in the NPPES registry on December 31, 2024.

Where is Logansport Al, LLC located?

Logansport Al, LLC is located at 3901 High St, Logansport, IN 46947. The listed phone number is (574) 739-2134.

What is Logansport Al, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Logansport Al, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1036828) is associated with this NPI, valid through February 9, 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 Logansport Al, LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.