Organization Active NPI

Legacy Afc, LLC

  • Foster Care Agency
  • Springfield, MA
National Provider Identifier
1023833076
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
LEGACY AFC, LLC
Practice address
120 Maple St Ste 401
Springfield, MA 01103-2208
Phone
(860) 994-8220
NPI assigned
Nov 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Ms. Susan Mutua, SHRM-SCP
Title
Program Director
Phone
(860) 994-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

120 Maple St Ste 401
Springfield, MA 01103-2208

Mailing address

120 Maple St Ste 401
Springfield, MA 01103-2208
Phone (860) 994-8220

National Provider Directory

National Provider Directory

Locations

120 Maple St
Ste 401
Springfield, MA 01103
Phone (413) 301-7337

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1023833076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST STE 401",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032208",
            "telephone_number": "860-994-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST STE 401",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032208",
            "telephone_number": "860-994-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY AFC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MUTUA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "860-994-8220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SHRM-SCP"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.