Organization Active NPI

Legacy Care Centers

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1194669135
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY CARE CENTERS
Practice address
1460 McAfee St
Saint Paul, MN 55106-1435
Phone
(651) 468-6963
Fax
(651) 478-6262
NPI assigned
Apr 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Mai Kia Miller, MILLER
Title
Owner
Phone
(651) 468-6963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1460 McAfee St
Saint Paul, MN 55106-1435

Mailing address

1460 McAfee St
Saint Paul, MN 55106-1435
Phone (651) 468-6963

Other names 1

  • LCC 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": "1776470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1194669135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MCAFEE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061435",
            "telephone_number": "651-468-6963",
            "fax_number": "651-478-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MCAFEE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061435",
            "telephone_number": "651-468-6963",
            "fax_number": "651-478-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "KIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-468-6963",
        "authorized_official_credential": "MILLER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.