LEGACY HEALTHCARE SERVICES INC.


Address: 1700 Pamalee Dr, Fayetteville, NC 28301-2824
Phone: 9109492096

LEGACY HEALTHCARE SERVICES INC. (NPI# 1073964417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073964417
Entity Type Organization
Organization Name LEGACY HEALTHCARE SERVICES INC.
Practice Address 1700 Pamalee Dr
Fayetteville
NC 28301-2824
Mailing Address 3001 Spring Forest Rd
Raleigh
NC 27616-2815
Practice Telephone 9109492096
Enumeration Date 2016-06-27
Last Update Date 2016-06-27
Authorized Official Name JEFF FINK (VP HUMAN RESOURCES AND RECRUITMENT)
Authorized Official Telephone 9194245080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 16045 NC Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407487366 Legacy Healthcare Services Inc. Occupational Therapist 1481 Marbach Dr, Washington, MO 63090-4636 2020-01-30
1164620084 Legacy Healthcare Services Inc. Occupational Therapist 7100 W 13th Ave, Suite 213, Lakewood, CO 80214-4782 2007-07-03
1710504741 Legacy Healthcare Services Inc. Speech-Language Pathologist 487 Highway 378, Lexington, SC 29072-9177 2020-06-25
1871125328 Legacy Healthcare Services Inc. Speech-Language Pathologist 10301 Golf Course Rd Nw, Albuquerque, NM 87114-5380 2020-02-12
1871132357 Legacy Healthcare Services Inc. Occupational Therapist 3405 El Salido Pkwy, Cedar Park, TX 78613-5640 2019-12-31
1376008185 Legacy Healthcare Services Inc. Occupational Therapist 4560 W Alexis Rd, Toledo, OH 43623-1082 2019-02-06
1710459276 Legacy Healthcare Services Inc. Nursing Care 2555 Madison Ave, Baltimore, MD 21217-4041 2018-12-21
1467945709 Legacy Healthcare Services Inc. Occupational Therapist 2041 Hubbard Rd, Madison, OH 44057-2565 2018-06-12
1912307877 Legacy Healthcare Services Inc. Occupational Therapist 2770 S Adams St, Bloomington, IN 47403-3242 2014-08-28

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations LEGACY HEALTHCARE SERVICES INC. 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417
Virginia Business Entities Legacy HealthCare Services Inc. 3001 Spring Forest Rd, Raleigh, North Carolina 27616

Office Location

Street Address 1700 PAMALEE DR
City FAYETTEVILLE
State NC
Zip Code 28301-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699886085 Highland House of Fayetteville, Inc Skilled Nursing Facility 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2006-08-31
1720556798 Jennifer Stephens Physical Therapy Assistant 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2018-11-08
1033694583 Felicia Stakely Physical Medicine & Rehabilitation 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2018-10-01
1740771047 Faith N Marine Physical Therapy Assistant 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2018-05-22
1013418177 Ilona Karin Ekstrand Physical Therapy Assistant 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2018-02-23
1164935227 Hollie Clouse Occupational Therapy Assistant 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2017-11-13
1073023305 Nancy Rodriguez Physical Therapy Assistant 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2017-09-29
1013441823 Roya Taheri Clinic/Center 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2017-04-18
1881064202 Stacey Crawley Bradford Occupational Therapist 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2015-09-28
1821474784 Christopher Colt Marion Physical Therapist 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2015-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726219 Jenna Michelle Odneal Behavior Technician 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 2020-10-02
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1487205951 Martha K Richardson Technician 720 Teachers Dr, Fayetteville, NC 28301 2019-09-25
1013568161 Angela Rena Locklear Counselor 211 Lamon St, Fayeteville, NC 28301 2019-09-20
1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
1912461815 Catherine Stevenson Nwogalanya Community Health Worker 1103 Hillsboro St., Fayetteville, NC 28301 2019-01-24
1811443187 Michael Carroll Counselor 308 Peterson Place, Fayetteville, NC 28301 2016-08-28
1023499886 Latifa Fedai Nurse Practitioner 380 Person Street, Fayettevill, NC 28301 2015-06-17
1265868939 Aci Support Specialists Community/Behavioral Health 1725 Venna Drive, Fayetteville, NC 28301 2013-09-25
1871929547 Aci Support Specialists Day Training, Developmentally Disabled Services 2820 Copenhagen Drive, Fayetteville, NC 28301 2013-09-25
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831625037 Supplemental Healthcare Skilled Nursing Facility 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 2017-05-08
1659764447 Kathleen Mason Skilled Nursing Facility 13 Lorelei Dr, Fayetteville, OH 45118-8404 2015-03-18
1083917413 Autumn Corporation Skilled Nursing Facility 1401 71st School Rd, Fayetteville, NC 28314-2814 2010-12-07
1194044941 Wcnc, Inc. Skilled Nursing Facility 4405 Persimmon Street, Fayetteville, AR 72704 2010-05-19
1962674796 Tison Speech Therapy Services Skilled Nursing Facility 1387 N Bernice Dr, Fayetteville, AR 72703-6086 2008-04-01
1851443022 Washington Regional Medicorp, Inc. Skilled Nursing Facility 221 S School Ave, Fayetteville, AR 72701-5969 2007-01-17
1871659730 Fayette Nursing & Rehabilitation Center LLC Skilled Nursing Facility 100 Hresan Blvd, Fayetteville, WV 25840-1333 2006-12-28
1740368612 Lafayette Health Care Center, Inc. Skilled Nursing Facility 110 Brandywine Blvd, Fayetteville, GA 30214-1500 2006-11-01
1417052895 State of Arkansas Skilled Nursing Facility 1179 N. College Avenue, Fayetteville, AR 72703 2006-09-13
1699886085 Highland House of Fayetteville, Inc Skilled Nursing Facility 1700 Pamalee Dr, Fayetteville, NC 28301-2824 2006-08-31
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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