North Logan Health Care Center Investors LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046532 Issued in IL

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

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia R Roth

Title

Controller

Phone

(317) 557-1190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1194882647",
    "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": "2007-01-03",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jane Nixon
• Sarah Ellen Nixon, LCSW
• Cynthia Nkana, MD
• Eunjoon David Noh, DMD
• North Logan Health Care Center Investors LLC
• North Logan Healthcare
• Amanda Lynne Norton
• Cameron Norton
• Jamie Norton, CRNA
• Oscar Dean Norton, MD

• Skilled Nursing Facility in Danville, IL
• Providers in Danville, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.