Active NPI
Legacy Terrace II, LP
- Assisted Living Facility
- Lincoln, NE
National Provider Identifier
1053695965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALF299
- Legal business name
- LEGACY TERRACE II, LP
- Practice address
- 3777 N 58TH St
Lincoln, NE 68507-1658 - Phone
- (402) 466-3777
- Fax
- (402) 466-3797
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Kopetzky
- Title
- Executive Director
- Phone
- (402) 466-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF299 | NE | Primary |
Addresses
Primary practice location
3777 N 58TH St
Lincoln, NE 68507-1658
Mailing address
3777 N 58TH St
Lincoln, NE 68507-1658
Phone (402) 466-3777
Other names 1
- The Arbors
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2196753 | Legacy Terrace II, LP Dba the Arbors | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318291200000",
"number": "1053695965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 N 58TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685071658",
"telephone_number": "402-466-3777",
"fax_number": "402-466-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 N 58TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685071658",
"telephone_number": "402-466-3777",
"fax_number": "402-466-3797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY TERRACE II, LP",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A",
"authorized_official_last_name": "KOPETZKY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "402-466-3777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Arbors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.