LOGAN COMMUNITY RESOURCES (NPI# 1033378807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033378807 |
| Entity Type | Organization |
| Organization Name | LOGAN COMMUNITY RESOURCES |
| Other Organization Name | LOGAN BUILDING BLOCKS |
| Practice Address |
2505 E Jefferson Blvd South Bend IN 46615-2635 |
| Mailing Address |
Po Box 1049 South Bend IN 46624-1049 |
| Practice Telephone | 5742894831 |
| Mailing Telephone | 5742894831 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | MR. DAN HARSHMAN (CEO) |
| Authorized Official Telephone | 5742894831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200713940 | 05 |
| Other Name | Type Code |
|---|---|
| Logan Building Blocks | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952779324 | Logan Community Resources | Behavioral Analyst | 6339 Atlantic Ave, Kalamazoo, MI 49009-9572 | 2015-09-02 |
| 1245614130 | Logan Community Resources | Behavioral Analyst | 2001 Niles Ave, Saint Joseph, MI 49085-1614 | 2015-07-10 |
| 1639558331 | Logan Community Resources | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2015-05-27 |
| Street Address |
2505 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1437756277 | Angela Snyder | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-10-05 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1922618032 | Susanne Borders | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-04 |
| 1396378774 | Cailin Grace Kennedy | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-02-13 |
| 1770125692 | Kristina Borkholder | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-10-11 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1013563568 | Ellen Jean Eaton | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-08-12 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| 1538627328 | Alissa Freyer | Behavior Technician | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134276967 | Goodwill Industries of Michiana, Inc. | Day Training, Developmentally Disabled Services | 1805 W Western Ave, South Bend, IN 46619-3519 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714318 | Latisha Clark | Day Training, Developmentally Disabled Services | 4909 E 18th St, Indianapolis, IN 46218-4609 | 2020-09-11 |
| 1821576877 | Kreation Residential Services | Day Training, Developmentally Disabled Services | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-01 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1720588072 | Indiana Support Services Group LLC | Day Training, Developmentally Disabled Services | 921 E 86th St Ste 205, Indianapolis, IN 46240-1841 | 2018-02-13 |
| 1205334208 | Input Residential | Day Training, Developmentally Disabled Services | 8117 E Washington St, Indianapolis, IN 46219-6813 | 2018-01-25 |
| 1659746709 | The Altruist Group, LLC | Day Training, Developmentally Disabled Services | 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 | 2015-12-01 |
| 1770970576 | Adaptive Community Support Services Inc | Day Training, Developmentally Disabled Services | 702 North Shore Drive, Suite 103, Jeffersonville, IN 47130-3109 | 2015-04-20 |
| 1659790285 | Normal Life of Indiana | Day Training, Developmentally Disabled Services | 414 S Fares Ave, Evansville, IN 47714-1571 | 2014-04-10 |
| 1275958001 | Advocating Angels | Day Training, Developmentally Disabled Services | 55 S State Ave Ste 302, Indianapolis, IN 46201-3895 | 2014-03-04 |
| 1003185380 | Orange Co Rehab & Developmental Svcs | Day Training, Developmentally Disabled Services | 986 W Hospital Rd, Paoli, IN 47454-9668 | 2011-12-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on LOGAN COMMUNITY RESOURCES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.