LEGACY HEALTHCARE (NPI# 1104113026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104113026 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 9194245080 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Authorized Official Name | MISS JESSICA BULLOCK (COTA/L) |
| Authorized Official Telephone | 7044080987 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7096 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688266 | Legacy Healthcare | Assisted Living Facility | 300 Billingrath Turn Ln, Cary, NC 27519-2838 | 2017-02-12 |
| 1578769634 | Legacy Healthcare | Skilled Nursing Facility | 9601 Gallop Ln, Bahama, NC 27503-9633 | 2007-06-26 |
| 1912496985 | Legacy Healthcare | Nurse Practitioner | 1918 Santa Anna Dr, Arlington, TX 76001-5611 | 2018-05-05 |
| 1184179004 | Legacy Healthcare | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2016-08-20 |
| 1568863892 | Legacy Healthcare | Assisted Living Facility | 363 Jungermann Rd, 261, Saint Peters, MO 63376-5371 | 2014-09-05 |
| 1376962621 | Legacy Healthcare | Residential Treatment Facility, Physical Disabilities | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-04-15 |
| 1629407036 | Legacy Healthcare | Skilled Nursing Facility | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2013-11-06 |
| 1497051049 | Legacy Healthcare | Clinic/Center | 200 Trade St, Tarboro, NC 27886-5055 | 2011-01-30 |
| 1245543347 | Legacy Healthcare | Skilled Nursing Facility | 725 S Pine St, Sebring, FL 33870-3654 | 2010-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY HEALTHCARE (SWITZERLAND) SA | Route De La Corniche 3 B, Epalinges, VD 1066, CHE |
| Colorado Business Entities | Legacy Healthcare Consulting LLC | N74w23774 Overland Ct, Sussex, WI 80831 |
| New York State Corporations | LEGACY HEALTHCARE MANAGEMENT GROUP, LLC | 6 Chelsea Place, Clifton Park, Ny 12065 |
| 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 |
| Connecticut Business Registrations | LEGACY HEALTHCARE SERVICES, INC. | 164 Wind Chime Court, Raleigh, NC 27615 |
| Iowa Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Rd., Raleigh, NC 27616 |
| Colorado Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Oklahoma Business Registrations | LEGACY HEALTHCARE, LLC | 1723 S. Morgan Rd, Oklahoma City, OK 73128 |
| Street Address |
3001 SPRING FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740216571 | Anne Pridgen | Physical Therapist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2006-06-23 |
| 1558975540 | Emily D Clendenin | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-09-07 |
| 1649810896 | Crystal Franklin | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-01-15 |
| 1427688654 | Rebecca Correia | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-01-15 |
| 1073078077 | Julie Pietrycha | Physical Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2019-02-04 |
| 1104311976 | Lauren Roddy Sullivan | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-06-25 |
| 1811487010 | Tanya Hart Howell | Physical Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-05-14 |
| 1306343066 | Annmarie Cheryl Crosdale | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-04-10 |
| 1720593122 | Kaylee Caruso | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2017-12-06 |
| 1982118162 | Denise Acri Groppe | Occupational Therapist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2017-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064832 | Rosie's Care Home Inc | Assisted Living Facility | 3604 Neuse Estates Dr, Raleigh, NC 27604-6071 | 2018-12-16 |
| 1831668482 | Hcp Raleigh Nc Opco, LLC | Assisted Living Facility | 4801 Edward Mills Rd., Raleigh, NC 27612-4417 | 2018-11-13 |
| 1235373606 | Dana Jackson Barnes | Assisted Living Facility | 1616 Riverknoll Dr, Raleigh, NC 27610-4580 | 2009-04-28 |
| 1124262050 | A Good Life Family Care Home | Assisted Living Facility | 4013 Tryon Rd, Raleigh, NC 27606-4209 | 2009-04-22 |
| 1801065602 | Twenty Pack Management Corp. | Assisted Living Facility | 4801 Edwards Mill Rd, Raleigh, NC 27612-4417 | 2008-02-26 |
| 1306041165 | Swift Creek Residential Care | Assisted Living Facility | 5003 Yates Mill Pond Rd, Raleigh, NC 27606-8905 | 2007-06-20 |
| 1841412988 | Falls River Court Memory Care, LLC | Assisted Living Facility | 1130 Alls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1669694709 | Falls River Village Assisted Living, LLC | Assisted Living Facility | 1110 Falls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1124245345 | Helms Cottage # 1 | Assisted Living Facility | 1313 Athens Dr, Raleigh, NC 27606-2424 | 2007-04-19 |
| 1336270958 | Lees Long Term Care Facility Inc. | Assisted Living Facility | 7133 Rock Service Station Rd, Raleigh, NC 27603-8307 | 2007-03-07 |
| Find all providers in RALEIGH | ||||
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| 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.