LEGACY HEALTHCARE SERVICES, INC. (NPI# 1689840266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689840266 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC. |
| Practice Address |
1517 Edna Ln Longview TX 75602-4915 |
| Practice Telephone | 9035570746 |
| Mailing Telephone | 9035570746 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MS. KATRINA DENEAN JOHNSON (C.O.T.A.) |
| Authorized Official Telephone | 9035570746 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 209900 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE BOARD LICENSE | 209900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151811 | Legacy Healthcare Services, Inc. | Occupational Therapist | 13716 New Hampshire Ave, Silver Spring, MD 20904-6215 | 2020-07-21 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1730636846 | Legacy Healthcare Services, Inc. | Occupational Therapist | 10665 W 13th St N, Wichita, KS 67212-5600 | 2016-09-07 |
| 1528419751 | Legacy Healthcare Services, Inc. | Physical Therapist | 100 Washington Commons Dr, Apt. 314, Evans, GA 30809-3159 | 2016-06-29 |
| 1689074288 | Legacy Healthcare Services, Inc. | Occupational Therapist | 55 Piney Mountain Dr, Asheville, NC 28805-1297 | 2014-09-02 |
| 1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
| 1376953794 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2201 S Lemay Ave, Fort Collins, CO 80525-1900 | 2014-05-07 |
| 1922429422 | Legacy Healthcare Services, Inc. | Home Health | 1748 Kinsaul Willoughby Rd, Greenville, NC 27834-7157 | 2013-12-31 |
| 1780943381 | Legacy Healthcare Services, Inc. | Physical Therapist | 1180 Haywood Rd, Greenville, SC 29615-2286 | 2012-05-16 |
| 1518069913 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2006-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Street Address |
1517 EDNA LN |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75602-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
| 1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
| 1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
| Find all providers in zip 75602 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659756047 | Gruenepointe 1 Longview, LLC | Skilled Nursing Facility | 2131 Alpine Rd, Longview, TX 75601-3402 | 2015-07-27 |
| 1861818635 | Hopkins County Hospital District | Skilled Nursing Facility | 1154 E Hawkins Pkwy, Longview, TX 75605-7975 | 2014-03-17 |
| 1063571552 | Buckner Retirement Services, Inc | Skilled Nursing Facility | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2006-12-08 |
| 1487600706 | Hopkins County Hospital District | Skilled Nursing Facility | 3201 4th St, Longview, TX 75605-5145 | 2006-05-26 |
| 1750335345 | Linderian Company, Ltd | Skilled Nursing Facility | 301 Hollybrook Dr, Longview, TX 75605-2461 | 2006-05-19 |
| 1437117272 | Longview I Enterprises, LLC | Skilled Nursing Facility | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2006-05-02 |
| 1659337384 | Whispering Pines Lodge Illp | Skilled Nursing Facility | 2131 Alpine Road, Longview, TX 75601 | 2006-04-21 |
| 1437125937 | Clairmont Longview, Lp | Skilled Nursing Facility | 3201 N 4th St, Longview, TX 75605-5145 | 2006-02-24 |
| 1578551768 | Highland Pines Nursing Home, Ltd | Skilled Nursing Facility | 1100 N 4th St, Longview, TX 75601-4739 | 2005-10-11 |
| 1104811207 | Evergreen Washington Healthcare Frontier, L.L.C. | Skilled Nursing Facility | 1500 3rd Ave, Longview, WA 98632-8632 | 2005-09-14 |
| Find all providers in LONGVIEW | ||||
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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.