OrganizationActive
Logan Valley Manor LLC
NPI 1396059051 · Skilled Nursing Facility · Lyons, NE
Logan Valley Manor LLC is a Skilled Nursing Facility organization in Lyons, NE (NPI 1396059051).
Provider details
- NPI number
- 1396059051
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Garett Robertson, Ceo(801) 296-5105
- License
- 084001 (NE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1035 Diamond St
Lyons, NE 68038-2501
Phone: (402) 687-2636
Fax: (402) 687-2638
Street-level locationGet directions
Mailing address
1035 Diamond St
Lyons, NE 68038-2501
Other names (DBA / former)
- Doing business as
- Logan Valley Manor
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2012-01-20
Frequently asked questions
- What is Logan Valley Manor LLC's NPI number?
- Logan Valley Manor LLC's National Provider Identifier (NPI) is 1396059051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Valley Manor LLC?
- Logan Valley Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Logan Valley Manor LLC located?
- Logan Valley Manor LLC's practice location on file with NPPES is 1035 Diamond St, Lyons, NE 68038-2501.
- What is Logan Valley Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Logan Valley Manor LLC is (402) 687-2636.
- Who is the authorized official for Logan Valley Manor LLC?
- The authorized official listed on Logan Valley Manor LLC's NPPES record is Garett Robertson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Valley Manor LLC's NPI active?
- Yes — Logan Valley Manor LLC's NPI (1396059051) is active in the NPPES registry as of the last update on 2012-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.