Organization Active NPI

Legacy Senior Care LLC

Doing business as Legacy Senior Care

  • Assisted Living Facility
  • Rosemount, MN
National Provider Identifier
1083591762
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACY SENIOR CARE LLC
Doing business as
Legacy Senior Care
Practice address
12591 Shannon Pkwy
Rosemount, MN 55068-3696
Phone
(612) 263-0555
NPI assigned
Aug 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Mr. Brian Lemar Burwell Jr.
Title
Owner
Phone
(612) 263-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12591 Shannon Pkwy
Rosemount, MN 55068-3696

Mailing address

10057 Sunbird Cir
Woodbury, MN 55129-7601
Phone (612) 263-0555

Other names 1

  • Legacy Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1083591762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10057 SUNBIRD CIR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551297601",
            "telephone_number": "612-263-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12591 SHANNON PKWY",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683696",
            "telephone_number": "612-263-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BURWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-263-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.