LEGACY HEALTHCARE SERVICES (NPI# 1912228735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912228735 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES |
| Practice Address |
5114 Providence Rd Charlotte NC 28226-5852 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 7043642485 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | ALISON STARKEY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7043642485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
7364 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483738 | Legacy Healthcare Services | Assisted Living Facility | 5327 S Jellison St, Littleton, CO 80123-2185 | 2014-11-03 |
| 1215269485 | Legacy Healthcare Services | Home Health | 10135 Glengate Ln, Houston, TX 77036-8607 | 2010-02-12 |
| 1699131573 | Legacy Healthcare Services | Clinic/Center | 15822 Clayton Rd, Ellisville, MO 63011-2212 | 2016-01-08 |
| 1063806784 | Legacy Healthcare Services | Skilled Nursing Facility | 3100 Spring Forest Rd, Raleigh, NC 27616-2880 | 2015-03-19 |
| 1922496926 | Legacy Healthcare Services | Assisted Living Facility | 28 Lincoln St, Hudson Falls, NY 12839-2431 | 2014-12-30 |
| 1831523570 | Legacy Healthcare Services | Physical Therapy Assistant | 111 Harrilson Rd, Cherryville, NC 28021-9541 | 2013-08-29 |
| 1942647524 | Legacy Healthcare Services | Assisted Living Facility | 1950 S Dayton St, Denver, CO 80247-3452 | 2013-05-23 |
| 1043580129 | Legacy Healthcare Services | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-01-06 |
| 1003113499 | Legacy Healthcare Services | Clinic/Center | 750 Se Cary Pkwy, Cary, NC 27511-5682 | 2011-02-21 |
| 1265749535 | Legacy Healthcare Services | Health Maintenance Organization | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Street Address |
5114 PROVIDENCE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447466297 | Cassandra Testa | Physical Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2007-05-15 |
| 1760947055 | Joseph Rodriguez | Physical Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2019-01-31 |
| 1396114344 | Michelle Florio Maitin | Speech-Language Pathologist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2015-09-21 |
| 1639411721 | Al One Investments LLC | Assisted Living Facility | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2013-03-27 |
| 1376807800 | Nicholas James Brand | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-06-29 |
| 1043580129 | Legacy Healthcare Services | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-01-06 |
| 1942510490 | Angela Nichole Sawyer | Occupational Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-10-18 |
| 1265749535 | Legacy Healthcare Services | Health Maintenance Organization | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-09-08 |
| 1487975686 | Patti Burris Deaton | Occupational Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-06-22 |
| 1730414608 | Tara Tennison Fitzgerald | Physical Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027597 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3611 Mt Holly Hntrsvl Rd Bldg 200, Charlotte, NC 28216-8636 | 2020-09-11 |
| 1861042574 | Trainer's B's Fitness World, Inc. | Clinic/Center | 1225 S Church St Ste B, Charlotte, NC 28203-4197 | 2019-09-14 |
| 1659300838 | Presbyterian Orthopaedic Hospital | Clinic/Center | 400 E Morehead St, Charlotte, NC 28202-2610 | 2006-07-01 |
| 1689622847 | Select Physical Therapy Holdings Inc | Clinic/Center | 8420 University City Blvd, Charlotte, NC 28213-3561 | 2006-05-04 |
| 1457759128 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3600 Park Rd, C/o Atria Merrywood, Charlotte, NC 28209-4102 | 2014-12-12 |
| 1225436264 | Truly Therapeutic Rehab Solutions, Pllc | Clinic/Center | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 | 2014-12-08 |
| 1497183891 | Eaton County Health and Rehabilitation Services | Clinic/Center | 530 Beech St, Charlotte, MI 48813-1016 | 2013-10-22 |
| 1053651034 | Carolinas Healthcare System | Clinic/Center | 1010 Edgehill Rd N, Department of Neurology, Charlotte, NC 28207-1885 | 2013-02-27 |
| 1053641670 | New Millennium Therapy | Clinic/Center | 8213 Escaflowne Ave, Charlotte, NC 28216-2265 | 2010-01-04 |
| 1669432175 | Select Physical Therapy Holdings Inc | Clinic/Center | 10512 Park Rd, Ste 209, Charlotte, NC 28210-8475 | 2006-03-27 |
| Find all providers in CHARLOTTE | ||||
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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.