New Legacy Treatment Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NEW LEGACY TREATMENT CENTER LLC

Practice address

3420 N 27TH Ave
Phoenix, AZ 85017-5013

Phone

(319) 202-2573

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Aimable Seba Byishimo

Title

Cao

Phone

(319) 202-2573

Specialties & licenses 1

Addresses

Other names 1

• New Legacy Treatment Center LLC Doing business as

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1043924632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175013",
            "telephone_number": "319-202-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175013",
            "telephone_number": "319-202-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEGACY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "BYISHIMO",
        "authorized_official_first_name": "AIMABLE",
        "authorized_official_middle_name": "SEBA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "319-202-2573"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Legacy Treatment Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.