Legacy Wellness Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LEGACY WELLNESS HOMES LLC

Practice address

3410 W Alicia Dr
Laveen, AZ 85339-3803

Phone

(623) 388-1017

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fadir Abdulahi

Title

Owner

Phone

(623) 388-1017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1023932720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W ALICIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393803",
            "telephone_number": "623-388-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W ALICIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393803",
            "telephone_number": "623-388-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY WELLNESS HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "FADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-388-1017"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Ledesma, RN
• Gage Lee, DPT
• Tiffany Lee
• Legacy Lantern LLC
• Legacy Mobile LLC (Legacy Mobile)
• Betelhem Legese
• Leveen Family Eyecare
• Audra R Lewis, RDH
• Michael John Lewis, RPH
• Lifeline Medical Transport

• Mental Illness Community Based Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.