Legacy Care Homes LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

525002203 Issued in CA

Legal business name

LEGACY CARE HOMES LLC

Practice address

605 Johnson St
Red Bluff, CA 96080-3720

Phone

(530) 529-2279

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

David I NervoNPI 1134456023

Title

Owner

Phone

(530) 365-6889

Specialties & licenses 1

Addresses

Other names 1

• Legacy House Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David I Nervo, PSYD

  • Clinical Psychologist
  • Anderson, CA
  • NPI 1134456023

  Assisted Living, Mental Illness

  NPD (past) Authorized official

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1174850838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 HAPPY VALLEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960079526",
            "telephone_number": "530-365-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JOHNSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803720",
            "telephone_number": "530-529-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "NERVO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-365-6889"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "525002203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lassen Medical Group Inc
• Thomas Anthony Lata, CRNA, ACNP
• Nhuha Thi Le
• Daniel Ferrin Leavitt, MD
• Herbert James Lee, MD
• Meghan C Leininger, DO
• Rory P Lengtat, DC
• April Lewis, MHRS
• Thomas Edward Lewis, DDS
• Maria Juvy Roque Libao, DDS

• Assisted Living Facility (Mental Illness) in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.