Legacy Senior Living 2 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY SENIOR LIVING 2 LLC

Practice address

19142 Stingray LN
Huntington Beach, CA 92646-2422

Phone

(714) 249-0176

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Thi Nhu Mai DO

Title

Ceo

Phone

(714) 249-0176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1083466106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19142 STINGRAY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462422",
            "telephone_number": "714-249-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19142 STINGRAY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462422",
            "telephone_number": "714-249-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SENIOR LIVING 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THI NHU MAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-249-0176"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suji Lee
• Tamlyn S. Lee, DDS
• Ted T Lee, M.D.
• Zhanna Lee
• Trang Ngoc Leete
• Legacy Senior Living LLC
• Anna M Legue, OTD, OTR/L
• Daniella Lenhardt
• Melody Lennington
• Paul Lennon, MS

• Assisted Living Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.