LEGACY HEALTHCARE SERVICES, INC (NPI# 1831503952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831503952 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Other Organization Name | LEGACY HEALTHCARE AT GRANGER |
| Practice Address |
430 E Cleveland Rd Granger IN 46530-5624 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 9194245080 |
| Practice Fax Number | 9194319224 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | SANDRA M HOSKINS (PRESIDENT) |
| Authorized Official Telephone | 9194245080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Legacy Healthcare at Granger | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1255750030 | Legacy Healthcare Services, Inc | Occupational Therapist | 5901 Macarthur Blvd Nw, Washington, DC 20016-2541 | 2014-04-09 |
| 1962828053 | Legacy Healthcare Services, Inc | Occupational Therapist | 222 S 25th St, Terre Haute, IN 47803-1800 | 2014-03-13 |
| 1316362650 | Legacy Healthcare Services, Inc | Occupational Therapist | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2014-02-24 |
| 1215298005 | Legacy Healthcare Services, Inc | Occupational Therapist | 12826 Daylight Cir, Saint Louis, MO 63131 | 2012-06-07 |
| 1467655761 | Legacy Healthcare Services, Inc | Occupational Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2007-06-06 |
| 1497110365 | Legacy Healthcare Services, Inc | Occupational Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-12-21 |
| 1174997233 | Legacy Healthcare Services, Inc | Occupational Therapist | 3420 Wake Forest Rd, Durham, NC 27703-3522 | 2015-11-30 |
| 1598139669 | Legacy Healthcare Services, Inc | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-11-30 |
| 1336535988 | Legacy Healthcare Services, Inc | Occupational Therapist | 8451 Us Highway 301 S, Riverview, FL 33578-5441 | 2015-04-10 |
| 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 |
430 E CLEVELAND RD |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336475300 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2009-10-27 |
| 1043605553 | Abby Weber | Occupational Therapy Assistant | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2015-04-01 |
| 1093116121 | Lauren Clevenger | Occupational Therapist | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-09-08 |
| 1346649688 | Heather Carroll | Assisted Living Facility | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-08-21 |
| 1922374099 | Jeanette Josol Jumao-as | Physical Therapist | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| 1528699196 | Kandace Cheri' Habenicht | Physical Therapist | 52183 Woodsedge Dr, Granger, IN 46530-8270 | 2020-01-31 |
| 1942830971 | Benjamin Matthew Burkett | Physical Therapist | 13932 Lexington Cir S, Granger, IN 46530-4969 | 2020-01-17 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1336530757 | Abner Mantoo | Physical Therapist | 51238 Kendallwood Dr, Granger, IN 46530-4705 | 2015-02-06 |
| 1720319742 | Maria Dolores Santos Menzen | Physical Therapist | 13723 Ravenwood Dr, Granger, IN 46530-4724 | 2010-01-15 |
| 1366771479 | Michiana Therapy Network | Physical Therapist | 51738 Sagecrest Dr, Granger, IN 46530-6887 | 2009-12-18 |
| 1760622815 | Abc Therapy Services, LLC | Physical Therapist | 12655 State Road 23, Granger, IN 46530-9641 | 2009-03-03 |
| 1659581569 | Bobbie Bates Seng | Physical Therapist | 16147 Darden Rd, Granger, IN 46530-9509 | 2007-05-22 |
| 1700907235 | Abc Therapy Services, LLC | Physical Therapist | 50920 Cherry Farm Trl, Granger, IN 46530-8942 | 2007-04-03 |
| Find all providers in GRANGER | ||||
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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.