The Legacy Senior Housing Investors, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0372 Issued in IA

Legal business name

THE LEGACY SENIOR HOUSING INVESTORS, LLC

Doing business as

Edencrest at The Legacy, LLC

Practice address

2901 Cedar Street
Norwalk, IA 50211-9807

Phone

(515) 250-2806

Fax

(515) 348-9424

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Miss Jill Clements

Title

Manager

Phone

(515) 250-2806

Specialties & licenses 1

Addresses

Other names 1

• Edencrest at The Legacy, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1053804831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CEDAR STREET",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119807",
            "telephone_number": "515-250-2806",
            "fax_number": "515-348-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CEDAR STREET",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119807",
            "telephone_number": "515-250-2806",
            "fax_number": "515-348-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY SENIOR HOUSING INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-250-2806",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edencrest at The Legacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edencrest at The Legacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Mary Steenhoek, M.S.
• Jenna Marie Stewart, DDS
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• Jesse Roy Stumbaugh, D.C.
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• Michael Jeffrey Thorson
• Elizabeth Tiede
• Rebecca Unzicker
• Grace Elizabeth Valen Gatrost
• Benjamin Jon Sterling Wagar, PT, DPT

• Assisted Living Facility in Norwalk, IA
• Providers in Norwalk, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.

Verify at the official NPI Registry.