Provider Demographics
NPI:1699217786
Name:LOGAN SENIOR CARE LLC
Entity Type:Organization
Organization Name:LOGAN SENIOR CARE LLC
Other - Org Name:ALWAYS BEST CARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:USELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-521-0895
Mailing Address - Street 1:4332 KENILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4401
Mailing Address - Country:US
Mailing Address - Phone:615-521-0895
Mailing Address - Fax:615-246-3882
Practice Address - Street 1:4332 KENILWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4401
Practice Address - Country:US
Practice Address - Phone:615-521-0895
Practice Address - Fax:615-246-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care