LEGACY (NPI# 1992115406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992115406 |
| Entity Type | Organization |
| Organization Name | LEGACY |
| Practice Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Mailing Address |
3001spring Forest Road Raliegh NC 27616 |
| Practice Telephone | 9194245086 |
| Practice Fax Number | 9194245085 |
| Mailing Telephone | 9194245086 |
| Mailing Fax Number | 9194245085 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | BONNIE FAYE HUMMER-WHEELER (CERTIFIED OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 9109644764 |
| Authorized Official Credential | COTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 5760 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 25000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1053621607 | Legacy | Clinic/Center | 120 South Hi Lusi Ave, Mount Prospect, IL 60056 | 2010-10-18 |
| 1831539824 | Legacy | Skilled Nursing Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2013-07-05 |
| 1730334640 | Legacy | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2008-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY | 1415 California Street, Houston, TX 77006-2602 |
| Colorado Business Entities | LEGACY & INTEGRITY LIMITED | 7879 Elmwood Ln, Denver, CO 80221 |
| New York State Corporations | LEGACY & LEGEND HOLDINGS, LLC | 8080 Barnum Road, Cassadaga, Ny 14718 |
| Virginia Business Entities | LEGACY & TRUST LEGAL COUNSEL PLLC | 7506 Digby Gr, Alexandria, Virginia 22315 |
| Washington State Corporations | LEGACY 04 L.L.C. | 1111 Main St, Vancouver, WA 98666 |
| New York State Corporations | LEGACY 0910 INC | 46 West 65th Street, Suite 1a, New York, Ny 10023 |
| New York State Corporations | LEGACY 1 CONDOMINIUM CORP. | 132-52 91st Avenue Mi, Flushing, Ny 11355 |
| Colorado Business Entities | LEGACY 1 DOING BUSINESS AS S.R.S, INC | 4113 Jebel St, Denver, CO 80249 |
| New York State Corporations | LEGACY 1 LIMO SERVICE & CAR INC. | 308 E5th Street, Brooklyn, New York 11218 |
| Colorado Business Entities | Legacy 1 LLC | 27090 Highway 72, Golden, CO 80403-8329 |
| Street Address |
3001 SPRING FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740216571 | Anne Pridgen | Physical Therapist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2006-06-23 |
| 1558975540 | Emily D Clendenin | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-09-07 |
| 1649810896 | Crystal Franklin | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-01-15 |
| 1427688654 | Rebecca Correia | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-01-15 |
| 1073078077 | Julie Pietrycha | Physical Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2019-02-04 |
| 1104311976 | Lauren Roddy Sullivan | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-06-25 |
| 1811487010 | Tanya Hart Howell | Physical Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-05-14 |
| 1306343066 | Annmarie Cheryl Crosdale | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-04-10 |
| 1720593122 | Kaylee Caruso | Speech-Language Pathologist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2017-12-06 |
| 1982118162 | Denise Acri Groppe | Occupational Therapist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2017-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1376542878 | Rex Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 4210 Lake Boone Trl, Raleigh, NC 27607-6521 | 2005-07-18 |
| 1215366059 | Right Choice Solutions | Nursing Facility/Intermediate Care Facility | 316 W Millbrook Rd, Suite 213, Raleigh, NC 27609-4478 | 2013-11-02 |
| 1508053935 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
| 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.