NPIMap

Organization Active NPI

Legacy Treatment Serivces, Inc.

  • Psychiatric Residential Treatment Facility
  • Jackson, NJ
National Provider Identifier
1083112155
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
LEGACY TREATMENT SERIVCES, INC.
Practice address
411 Smithburg CT
Jackson, NJ 08527-4444
Phone
(609) 267-5656
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Ronald Davis
Title
Billing Manager
Phone
(609) 267-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

411 Smithburg CT
Jackson, NJ 08527-4444

Mailing address

1289 Route 38 Ste 203
Hainesport, NJ 08036-2730

National Provider Directory

National Provider Directory
Tax ID family
Union Association of the Children'S Home116 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1083112155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38 STE 203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SMITHBURG CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274444",
            "telephone_number": "609-267-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TREATMENT SERIVCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-267-5656"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.