Organization Active NPI

Legacy Assisted Corporation

  • Adult Day Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1215512306
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LEGACY ASSISTED CORPORATION
Practice address
1050 Saint Elizabeth Dr
San Jose, CA 95126-4322
Phone
(408) 679-2700
Fax
(408) 512-1731
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mr. Thomas J Connors, RN
Title
Ceo
Phone
(408) 679-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1050 Saint Elizabeth Dr
San Jose, CA 95126-4322

Mailing address

PO Box 54282
San Jose, CA 95154-0282
Phone (408) 679-2700

Other names 1

  • Somerset Senior Day Care Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Saint Elizabeth Dr
San Jose, CA 95126
Phone (408) 679-2700

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1215512306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54282",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951540282",
            "telephone_number": "408-679-2700",
            "fax_number": "408-512-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SAINT ELIZABETH DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264322",
            "telephone_number": "408-679-2700",
            "fax_number": "408-512-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ASSISTED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-679-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Senior Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.