Active NPI
Legacy Assisted Corporation
- Adult Day Care Clinic/Center
- San Jose, CA
National Provider Identifier
1215512306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.