Active NPI
Legacy Healthcare Services
- Health Maintenance Organization
- Charlotte, NC
National Provider Identifier
1265749535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 7364
- Legal business name
- LEGACY HEALTHCARE SERVICES
- Practice address
- 5114 Providence Rd
Charlotte, NC 28226-5852 - Phone
- (704) 364-2485
- NPI assigned
- Sep 8, 2010
- 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
- Alison Starkey, PT
- Title
- Physical Therapist
- Phone
- (704) 364-2485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 7364 | NC | Primary |
Addresses
Primary practice location
5114 Providence Rd
Charlotte, NC 28226-5852
Mailing address
3001 Spring Forest Rd
Raleigh, NC 27616-2815
Phone (919) 424-5080
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Healthcare Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Charlotte, NC
- NPI 1912228735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1265749535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162815",
"telephone_number": "919-424-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282265852",
"telephone_number": "704-364-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "STARKEY",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "704-364-2485",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NC",
"license": "7364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.