Logan Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LOGAN OPERATOR LLC

Doing business as

Logan Square Enhanced Senior Living

Practice address

2 Franklin Town Blvd
Philadelphia, PA 19103-1238

Phone

(215) 563-1800

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Mindee Posen

Title

Medicare Administration Officer

Phone

(845) 825-2217

Specialties & licenses 1

Addresses

Other names 1

• Logan Square Enhanced Senior Living Doing business as

Tax ID family

Esolutions Inc2 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.

• Logan Operator LLC

  dba Logan Square Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1144956384
  NPD tax ID

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1982326054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "215-563-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "215-563-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Square Enhanced Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Dinardo Loftus, PMHNP-BC
• Christopher Miranda Loftus, MD
• Michael J Loftus, DDS
• Logan Health Center Inc
• Logan Operator LLC (Logan Square Rehabilitation and Healthcare Center)
• Ayesha Nicole Logan, CRNP
• Caitlin Logan
• Gail Logan, MHS
• Gayle Vence Logan, MA,LMSW,LPC
• Jade Logan, PH.D., ABPP

• Assisted Living Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.