North Logan Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046532 Issued in IL

Legal business name

NORTH LOGAN HEALTHCARE

Practice address

801 N Logan Ave
Danville, IL 61832-3715

Phone

(217) 443-3106

Fax

(217) 443-3187

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Claire Jane Matheny, ADMINISTATOR

Title

Administrator

Phone

(217) 443-3106

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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.

• North Logan Health Care Center Investors LLC

  dba North Logan Health Care Center

  • Oxygen Equipment & Supplies (DME)
  • Danville, IL
  • NPI 1104273689
  NPD tax ID

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1275764466",
    "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": "217-443-3184"
        },
        {
            "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 HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-443-3106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellen Nixon, LCSW
• Cynthia Nkana, MD
• Eunjoon David Noh, DMD
• North Logan Health Care Center Investors LLC (North Logan Health Care Center)
• North Logan Health Care Center Investors LLC
• Amanda Lynne Norton
• Cameron Norton
• Jamie Norton, CRNA
• Oscar Dean Norton, MD
• Debora L O'Brien, PA

• 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 Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.