Logan Community Resources, Inc.
NPI 1891917449 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Bend, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan Community Resources, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in South Bend, IN (NPI 1891917449).
Provider details
- NPI number
- 1891917449
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Clint Bolser, Ceo(574) 289-4831
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2012-08-01
Frequently asked questions
- What is Logan Community Resources, Inc.'s NPI number?
- Logan Community Resources, Inc.'s National Provider Identifier (NPI) is 1891917449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Community Resources, Inc.?
- Logan Community Resources, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Logan Community Resources, Inc. located?
- Logan Community Resources, Inc.'s practice location on file with NPPES is 2505 E. Jefferson Blvd, South Bend, IN 46615.
- What is Logan Community Resources, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Logan Community Resources, Inc. is (574) 289-4831.
- Does Logan Community Resources, Inc. accept Medicare?
- Logan Community Resources, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Logan Community Resources, Inc.?
- The authorized official listed on Logan Community Resources, Inc.'s NPPES record is Clint Bolser, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Community Resources, Inc.'s NPI active?
- Yes — Logan Community Resources, Inc.'s NPI (1891917449) is active in the NPPES registry as of the last update on 2012-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.