Active NPI
LMS Legacy Care Services, LLC
- Community/Behavioral Health Agency
- Muncie, IN
National Provider Identifier
1194430256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.