Organization Active NPI

North Logan Health Care Center Investors LLC

  • Oxygen Equipment & Supplies (DME)
  • Danville, IL
National Provider Identifier
1104273689
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
NORTH LOGAN HEALTH CARE CENTER INVESTORS LLC
Practice address
801 N Logan Ave
Danville, IL 61832-3715
Phone
(217) 443-3106
Fax
(217) 443-3187
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Jammie Adkins
Title
Regional Director of a/R
Phone
(812) 598-2645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

801 N Logan Ave
Danville, IL 61832-3715

Mailing address

801 N Logan Ave
Danville, IL 61832-3715
Phone (217) 443-3106

Other names 1

  • North Logan Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Logan Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1104273689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323715",
            "telephone_number": "217-443-3106",
            "fax_number": "217-443-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323715",
            "telephone_number": "217-443-3106",
            "fax_number": "217-443-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LOGAN HEALTH CARE CENTER INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF A/R",
        "authorized_official_telephone_number": "812-598-2645"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Logan Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.