Organization Active NPI

LMS Legacy Care Services, LLC

  • Community/Behavioral Health Agency
  • Muncie, IN
National Provider Identifier
1194430256
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LMS LEGACY CARE SERVICES, LLC
Practice address
1001 N Leland Ave
Muncie, IN 47303-3338
Phone
(765) 215-3448
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Tishana D Merrill, LPN
Title
LPN
Phone
(765) 215-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1001 N Leland Ave
Muncie, IN 47303-3338

Mailing address

3160 Cherry Lake LN Ste a
Indianapolis, IN 46235-8613
Phone (765) 215-3448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1194430256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CHERRY LAKE LN STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358613",
            "telephone_number": "765-215-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N LELAND AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033338",
            "telephone_number": "765-215-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMS LEGACY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "TISHANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "765-215-3448",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.