LOGAN VALLEY MANOR LLC (NPI# 1396059051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396059051 |
| Entity Type | Organization |
| Organization Name | LOGAN VALLEY MANOR LLC |
| Other Organization Name | LOGAN VALLEY MANOR |
| Practice Address |
1035 Diamond St Lyons NE 68038-2501 |
| Practice Telephone | 4026872636 |
| Practice Fax Number | 4026872638 |
| Mailing Telephone | 4023872636 |
| Mailing Fax Number | 4026872638 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | GARETT J ROBERTSON (CEO) |
| Authorized Official Telephone | 8012965105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 084001 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026103200 | 05 |
| Other Name | Type Code |
|---|---|
| Logan Valley Manor | Doing Business As Name - Organization |
| Street Address |
1035 DIAMOND ST |
| City | LYONS |
| State | NE |
| Zip Code | 68038-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820391 | Lyons Community Foundation | Skilled Nursing Facility | 1035 Diamond St, Lyons, NE 68038-2501 | 2017-09-18 |
| 1104272434 | Improve Care Management and Rehab Consultant Inc | Skilled Nursing Facility | 1035 Diamond St, Lyons, NE 68038-2501 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417020231 | Lyons Fire District | Ambulance | 405 Main Street, Lyons, NE 68038 | 2006-11-17 |
| 1881759934 | Oakland Memorial Hospital | Clinic/Center | 220 Main St, Lyons, NE 68038-2676 | 2006-12-27 |
| 1497810667 | Oakland Mercy Hospital | Clinic/Center | 220 Main St, Lyons, NE 68038-2676 | 2006-12-27 |
| 1679689004 | Peter J. Thiele | Physician Assistant | 220 Main St, Lyons, NE 68038-2676 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282368 | Zachary Mitchell Kruger | Counselor | 419 4th Avenue, Lyons, CO 80540 | 2020-10-15 |
| 1194322685 | Tamara S Hollman | Registered Nurse | 217 John St, Lyons, MI 48851-5101 | 2020-10-07 |
| 1477162741 | Central Kansas Psychological Services, Inc. | Marriage & Family Therapist | 103 W Main St Ste B103, Lyons, KS 67554-1927 | 2020-07-23 |
| 1598383325 | Michael Gay | Psychologist | 630 2nd Ave, Lyons, CO 80540-5065 | 2020-07-08 |
| 1619595642 | Lisa Hassin Lpc LLC | Counselor | 418 High Street, Lyons, CO 80540 | 2020-07-07 |
| 1922629781 | Lana L Merritt | Registered Nurse | 19 Elmer St, Lyons, NY 14489-1305 | 2020-05-04 |
| 1497383111 | Tracy Ann York | Home Health | 11695 County Rd N, Lyons, OH 43533-9748 | 2020-03-29 |
| 1245867795 | Melissa Carol Jenkins | Case Management | 154 Hill Rd, Lyons, GA 30436-4450 | 2020-03-25 |
| 1003449620 | Dianna Jean Lawyer-brook | Counselor | 1146 Kiowa Rd, Lyons, CO 80540-8219 | 2020-02-21 |
| 1164062626 | Anthony Petrarca | Chiropractor | 3842 Harlem Ave # 44, Lyons, IL 60534-1219 | 2020-01-13 |
| Find all providers in LYONS | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568534717 | County of Wayne | Skilled Nursing Facility | 1529 Nye Rd, Lyons, NY 14489-9111 | 2006-11-14 |
| 1558308692 | Toombs Nursing Home LLC | Skilled Nursing Facility | 181 Oxley Dr, Lyons, GA 30436-5644 | 2006-05-31 |
| 1932175791 | Riverview Hospital | Skilled Nursing Facility | County Road 800 West, Lyons, IN 47443-0247 | 2006-02-23 |
| 1952820391 | Lyons Community Foundation | Skilled Nursing Facility | 1035 Diamond St, Lyons, NE 68038-2501 | 2017-09-18 |
| 1104272434 | Improve Care Management and Rehab Consultant Inc | Skilled Nursing Facility | 1035 Diamond St, Lyons, NE 68038-2501 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437618576 | Vsl Kearney LLC | Skilled Nursing Facility | 2615 W 11th St, Kearney, NE 68845-0106 | 2019-03-18 |
| 1316436470 | St Josephs Elder Services Inc | Skilled Nursing Facility | 540 E Washington St, West Point, NE 68788-1314 | 2018-05-04 |
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1063935369 | Quality Care Solutions, L.L.C. | Skilled Nursing Facility | 1313 1st St, Aurora, NE 68818 | 2017-07-19 |
| 1881128064 | Hillcrest Millard, LLC | Skilled Nursing Facility | 13225 Westwood Ln, Omaha, NE 68144-3515 | 2017-04-14 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1700333879 | Broken Bow Living Center, Inc. | Skilled Nursing Facility | 850 Laurel Pkwy, Broken Bow, NE 68822-1111 | 2016-09-07 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| Find all providers with the same taxonomy | ||||
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| 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.