Legacy Care Adhc Corporation

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LEGACY CARE ADHC CORPORATION

Doing business as

Legacy Care ADHC/ CBAS

Practice address

11239 Camino Ruiz Ste a
San Diego, CA 92126-4601

Phone

(858) 414-3615

NPI assigned

Nov 29, 2023

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

LEGACY CARE ADHC CORPORATIONAs reported in NPPES

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

Authorized official

Name

Lizzie LeNPI 1659059244

Title

Ceo

Phone

(858) 414-3615

Specialties & licenses 1

Addresses

Other names 1

• Legacy Care ADHC/ CBAS Doing business as

Part of

Legacy Care Adhc Corporation

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lizzie Le

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1659059244
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1164298337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 CAMINO RUIZ STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264601",
            "telephone_number": "858-414-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 CAMINO RUIZ STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264601",
            "telephone_number": "858-414-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE ADHC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY CARE ADHC CORPORATION",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LIZZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-414-3615"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Care ADHC/ CBAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylynn Leffingwell
• Candace Rhiannon Leflame, DO
• Jason Riebel Lefringhouse, M.D., M.P.H.
• Judi Lefter, RN
• Darreca Leftridge
• Legacy Home Health & Rehabilitation, LLC
• Legacy Medical Group, Inc.
• Legacy Medical Transportation LLC
• Daryl Legaspi, RN
• Donna Rose Legaspi, RN

• Adult Day Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.