NPIMap

Organization Active NPI

Legacy Residential & Community Services LLC

  • Developmentally Disabled Services Day Training Agency
  • MC Leansville, NC
National Provider Identifier
1225745342
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LEGACY RESIDENTIAL & COMMUNITY SERVICES LLC
Practice address
5407 Silverbrook Dr
MC Leansville, NC 27301-9331
Phone
(336) 417-1958
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Keyona Hope BarrettNPI 1467081174
Title
Executive Director
Phone
(336) 417-1958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

5407 Silverbrook Dr
MC Leansville, NC 27301-9331

Mailing address

5407 Silverbrook Dr
MC Leansville, NC 27301-9331

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL legacyservicesnc@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1225745342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 SILVERBROOK DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 SILVERBROOK DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019331",
            "telephone_number": "336-417-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RESIDENTIAL & COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KEYONA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-417-1958"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "legacyservicesnc@gmail.com",
            "affiliation": "N",
            "address_1": "5407 Silverbrook Dr",
            "city": "Mc Leansville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273019331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Leansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.