LEGACY HEALTHCARE (NPI# 1912496985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912496985 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
1918 Santa Anna Dr Arlington TX 76001-5611 |
| Practice Telephone | 8172014503 |
| Practice Fax Number | 6822383180 |
| Mailing Telephone | 8172014503 |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2018-05-05 |
| Authorized Official Name | YONAH KNUCKLES (ADMINISTRATOR) |
| Authorized Official Telephone | 8172014503 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG03180006 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1184179004 | Legacy Healthcare | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2016-08-20 |
| 1568863892 | Legacy Healthcare | Assisted Living Facility | 363 Jungermann Rd, 261, Saint Peters, MO 63376-5371 | 2014-09-05 |
| 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 |
1918 SANTA ANNA DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76001-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427473867 | Lakewood Health Care Agency Inc | Home Health | 1918 Santa Anna Dr, Arlington, TX 76001-5611 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958229 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 719 W. Harris St., Suite B10, Arlington, TX 76001 | 2020-06-25 |
| 1396248688 | Holly Daniels | Health Educator | 7120 S. Cooper St., Arlington, TX 76001 | 2018-03-13 |
| 1629577036 | Samuel Kromer | Health Educator | 7120 S. Cooper Street, Arlington, TX 76001 | 2018-02-12 |
| 1578089678 | Lone Star Assist LLC | Specialist/Technologist, Other | 7802 Fox Chase Dr., Arlington, TX 76001 | 2017-08-21 |
| 1427595263 | Tayo Osiyemi | Behavior Technician | 6408 Rock Springs, Arlington, TX 76001 | 2017-01-31 |
| 1922555911 | Arlington-mansfield Area Young Men's Christian Association | Health Educator | 7201 S Cooper St, Arlington, TX 76001 | 2016-09-07 |
| 1356732267 | Jayce Rodriguez | Physician Assistant | 8015 S. Cooper Street, Arlington, TX 76001 | 2015-02-13 |
| 1194069849 | Kathryn Elise Johnson | Counselor | 7100 S Cooper St Ste 9, Arlington, TX 76001 | 2012-11-19 |
| 1831473305 | Jae Brimhall | Dentist | 6501 S Cooper St Ste 129, Arlington, TX 76001 | 2011-10-03 |
| 1114226990 | Resource Hcs & Txhml | Community/Behavioral Health | 7901 Modesto Dr, Arlington, TX 76001 | 2011-03-20 |
| Find all providers in zip 76001 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134678485 | T L Mosier Pllc | Nurse Practitioner | 1011 N Cooper St, Arlington, TX 76011-5517 | 2016-09-28 |
| 1235141037 | Shari Herman | Nurse Practitioner | 37 Broadway, Arlington, MA 02474-5552 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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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.