Active NPI
Legacy Healthcare Services
- Skilled Nursing Facility
- Raleigh, NC
National Provider Identifier
1063806784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100000000000009
- Legal business name
- LEGACY HEALTHCARE SERVICES
- Practice address
- 3100 Spring Forest Rd
Raleigh, NC 27616-2880 - Phone
- (704) 435-0108
- NPI assigned
- Mar 19, 2015
- Last updated
- Mar 19, 2015
- 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
- Kelli Anne Pitman, OT
- Title
- Occupational Therapist
- Phone
- (704) 435-0108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100000000000009 | NC | Primary |
Addresses
Primary practice location
3100 Spring Forest Rd
Raleigh, NC 27616-2880
Mailing address
3100 Spring Forest Rd
Raleigh, NC 27616-2880
National Provider Directory
National Provider DirectoryLocations
3100 Spring Forest Rd
Raleigh, NC 27616
Phone (919) 882-0705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1063806784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "704-435-0108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "PITMAN",
"authorized_official_first_name": "KELLI",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "704-435-0108",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "100000000000009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.