Trinity Health Care Services of Logan Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

86 Issued in WV

Legal business name

TRINITY HEALTH CARE SERVICES OF LOGAN INC

Practice address

1000 W Park Ave
Logan, WV 25601-3155

Phone

(304) 752-8723

Fax

(304) 752-7711

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald G Vance, CPA

Title

President

Phone

(704) 369-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Health Care of Logan Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Skilled nursing facility certification: CCN 515140

Legal name

TRINITY HEALTH CARE SERVICES OF LOGAN INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 19, 1996

Last certification

Jun 5, 2024

Beds

120

Ownership / control type

Individual

Organization structure

CorporationProprietary

Incorporated

Jul 2, 2006 in WV

Enrollment address

1000 West Park Avenue
Logan, WV 25601-3155

Listed as

Trinity Health Care of LoganCCN 515140

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jan 19, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120107.7 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $41,930

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Trinity Health Care Services of Mingo Inc

  • Nursing Facility/Intermediate Care Facility
  • Williamson, WV
  • NPI 1194800847

  Trinity Health Care Services Inc

  CMS ownership

Practitioners 3

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

• Karunasree Kanuri, M.D.,

  • Family Medicine Physician
  • West Logan, WV
  • NPI 1174612907
  NPD (past)
• Kenneth Sells, DO

  • Family Medicine Physician
  • Logan, WV
  • NPI 1902838824
  NPD (past)
• Roderick Allen Young, M.D.

  • Occupational Medicine Physician
  • Logan, WV
  • NPI 1235295072
  NPD (past)

Affiliated clinicians 1

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

• Kenneth Sells, DO

  • Family Medicine Physician
  • Logan, WV
  • NPI 1902838824

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1386729036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 REXFORD RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113476",
            "telephone_number": "704-369-7200",
            "fax_number": "704-362-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PARK AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013155",
            "telephone_number": "304-752-8723",
            "fax_number": "304-752-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH CARE SERVICES OF LOGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-369-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006016",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Care of Logan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessi Danielle Tomblin, MA,ED
• Monroe Tomblin
• Travis Wess Tomblin, M.ED.
• Total Renal Care Inc
• Jerri Townsend
• Narciso B Tuanquin, MD
• Kayla Marlene Turner
• Stephen D Ulaki, D.O.
• Ulysses D Agas M D Inc
• University Physicians & Surgeons, Inc.

• All providers in Logan, WV
• Nursing Facility/Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.