NPIMap

Organization Active NPI

The Legacy Midtown Park, Inc

  • Skilled Nursing Facility
  • Dallas, TX
National Provider Identifier
1013546118
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE LEGACY MIDTOWN PARK, INC
Practice address
8280 Manderville Lane
Dallas, TX 75231
Phone
(214) 379-6700
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Purchal
Title
Cfo
Phone
(972) 468-6176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8280 Manderville Lane
Dallas, TX 75231

Mailing address

6101 Ohio Dr Ste 100
Plano, TX 75024-2722
Phone (972) 468-6176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831003065 TX Part A Provider - Skilled Nursing Facility 2567889975 Practice locations: Dallas, TX

Skilled nursing facility certification: CCN 676489

Legal name
THE LEGACY MIDTOWN PARK INC
Doing business as
THE LEGACY MIDTOWN PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 31, 2020
Last certification
Aug 29, 2024
Beds
54
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2019 in TX
Enrollment address
8280 Manderville LN
Dallas, TX 75231-1104
Nursing home name
THE LEGACY MIDTOWN PARK

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Legacy Midtown ParkCCN 676489
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 31, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5453.1 residents per day on average
Penalties (3 years)
4Fines totaling $27,523

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2191593The Legacy Midtown Park, Inc8280 Manderville LN, Dallas, TX 75231Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bridgette Scott Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 23, 2023
Bridgette Walshe Individual Corporate DirectorCoo Sep 24, 2021
Adp of the SNF Sep 24, 2021
The Legacy Midtown Park Inc Organization, Dallas, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Adp of the SNF Jul 28, 2015
The Legacy Senior Communities Inc Organization, Dallas, TX Corporation, Non-profit Operational/Managerial Control Oct 1, 2022
Adp of the SNF Apr 15, 2025
Individual Adp of the SNF Jun 17, 2024
Scott Snorton Individual Corporate OfficerCfo Jun 3, 2024
Adp of the SNF Jun 3, 2024
Individual Adp of the SNF Jun 1, 2020

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1013546118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 OHIO DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242722",
            "telephone_number": "972-468-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 MANDERVILLE LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-379-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY MIDTOWN PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "PURCHAL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-468-6176"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.