Legacy Treatment Center LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

LEGACY TREATMENT CENTER LLC

Practice address

2720 E Thomas Rd Suite C150
Phoenix, AZ 85016

Phone

(623) 455-1194

NPI assigned

May 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Enric John Baloria

Title

Owner

Phone

(623) 455-1194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1013655034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD SUITE C150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "623-455-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD SUITE C150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "623-455-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BALORIA",
        "authorized_official_first_name": "ENRIC JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-455-1194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Healing Health Communty LLC
• Legacy Healthcares LLC
• Legacy House Community Service
• Legacy of Hearts Assisted Living LLC
• Legacy Trans LLC
• Legacy Wellness PLLC
• Michael Legal
• David Kenneth Legar, L. AC.
• Jeremy Joseph Legaspi, M.S.,CCC-SLP
• Linda Engracia Legaspi, M.D.

• Recovery Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Recovery Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.