LEGACY HEALTHCARE (NPI# 1568863892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568863892 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
363 Jungermann Rd 261 Saint Peters MO 63376-5371 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 6362443921 |
| Practice Fax Number | 6362443922 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | BROOKE MARIE FRANKLIN (COTA/L REHAB DIRECTOR) |
| Authorized Official Telephone | 6018700618 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2014012743 | MO | 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 |
| 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 |
| 1104113026 | Legacy Healthcare | Assisted Living Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2011-06-29 |
| 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 |
363 JUNGERMANN RD 261 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447550389 | Sherilyn Mattarocci Haug | Chiropractor | 363 Jungermann Rd, #261, Saint Peters, MO 63376-5371 | 2010-10-26 |
| 1205269669 | Kristine Marie Jansen | Physical Therapist | 363 Jungermann Rd, Saint Peters, MO 63376-5371 | 2013-08-20 |
| 1346589256 | Kelly Bailey | Occupational Therapist | 363 Jungermann Rd, Saint Peters, MO 63376-5371 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1588211932 | Glenfield Memory Care Homes | Assisted Living Facility | 118 Ohmes Rd, Saint Peters, MO 63376-7659 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820283 | Oak Meadows Rcf LLC | Assisted Living Facility | 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 | 2020-10-28 |
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.