Organization Active NPI

County of Logan Office of Auditor

  • Skilled Nursing Facility
  • Bellefontaine, OH
National Provider Identifier
1013904226
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COUNTY OF LOGAN OFFICE OF AUDITOR
Doing business as
LOGAN ACRES CARE CENTER
Practice address
2739 County Road 91
Bellefontaine, OH 43311-9007
Phone
(937) 592-2901
Fax
(937) 592-2763
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalie Gilmore, LNHA
Title
Administrator
Phone
(937) 592-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2739 County Road 91
Bellefontaine, OH 43311-9007

Mailing address

2739 County Road 91
Bellefontaine, OH 43311-9007
Phone (937) 592-2901

Other identifiers 2

IdentifierTypeStateIssuer
0299734MedicaidOH
2671032MedicaidOH

Other names 1

  • LOGAN ACRES CARE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000231 OH Part A Provider - Skilled Nursing Facility 6901814128 Practice locations: Bellefontaine, OH

Skilled nursing facility certification: CCN 365768

Legal name
COUNTY OF LOGAN OFFICE OF AUDITOR
Doing business as
LOGAN ACRES CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 3, 1989
Last certification
Jan 26, 2023
Beds
110
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
2739 County Road 91
Bellefontaine, OH 43311-9007
Nursing home name
LOGAN ACRES

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Logan AcresCCN 365768 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Aug 3, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11099.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0936872Logan Acres Care Center2739 County Rd 91, Bellefontaine, OH 43311Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Logan Office of Auditor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8Plans: DEVOTED CORE 023 PA (HMO) (H6852-023-000, H6852); DEVOTED GIVEBACK 009 PA (HMO) (H6852-009-000, H6852); DEVOTED CORE 010 PA (HMO) (H6852-010-000, H6852); DEVOTED CORE 008 PA (HMO) (H6852-008-000, H6852); DEVOTED GIVEBACK 011 PA (HMO) (H6852-011-000, H6852); DEVOTED GIVEBACK 013 PA (HMO) (H6852-013-000, H6852); DEVOTED CORE 014 PA (HMO) (H6852-014-000, H6852); DEVOTED GIVEBACK 015 PA (HMO) (H6852-015-000, H6852); DEVOTED CORE 012 PA (HMO) (H6852-012-000, H6852)

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregg Scott Fulmer Individual Operational/Managerial Control Jan 31, 2025
Adp of the SNF Jan 31, 2025
County of Logan Office of Auditor Organization, Bellefontaine, OH 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Operational/Managerial Control Jul 21, 1989
Adp of the SNF Jul 21, 1989
Lorraine Fischio Individual Operational/Managerial Control May 21, 2015
Adp of the SNF May 21, 2015
John Bayliss Individual Corporate DirectorCommissioner Mar 30, 2006

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1013904226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 COUNTY ROAD 91",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119007",
            "telephone_number": "937-592-2901",
            "fax_number": "937-592-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 COUNTY ROAD 91",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119007",
            "telephone_number": "937-592-2901",
            "fax_number": "937-592-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-592-2901",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299734",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2671032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGAN ACRES CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.