LEGACY CARE PROVIDERS INC (NPI# 1538490974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538490974 |
| Entity Type | Organization |
| Organization Name | LEGACY CARE PROVIDERS INC |
| Practice Address |
116 Schaaf St Murdock MN 56271-7995 |
| Mailing Address |
175 80th Ave Ne Clara City MN 56222-1221 |
| Practice Telephone | 3208754742 |
| Practice Fax Number | 3208754555 |
| Mailing Telephone | 3208410617 |
| Mailing Fax Number | 3208754555 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Authorized Official Name | MR. STEVEN WILLIAM TAMMEN (VICE PRESIDENT / BILLER) |
| Authorized Official Telephone | 3208470617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 347574 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ASSISTED LIVING CLASS F HOME CARE PROVIDER | 347574 | 01 |
| Street Address |
116 SCHAAF ST |
| City | MURDOCK |
| State | MN |
| Zip Code | 56271-7995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609007202 | Kavanagh Chiropractic, P.a. | Chiropractor | 440 110th Ave Se, De Graff, MN 56271-9071 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932257 | Cortney Sorensen | Registered Nurse | 300 Wyoming St, Murdock, NE 68407-5032 | 2020-11-05 |
| 1366615106 | Jennifer L Graham | Registered Nurse | 2660 N Highway 17, Murdock, KS 67111-8924 | 2008-04-11 |
| 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 |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LEGACY CARE PROVIDERS INC.
| 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.