Legacy Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY HEALTHCARE LLC

Doing business as

Legacy Health

Practice address

620 W Spur Ave
Gilbert, AZ 85233-6352

Phone

(623) 521-0505

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilson C Okwuobu

Title

Ceo

Phone

(623) 521-0505

Specialties & licenses 1

Addresses

Other names 1

• Legacy Health Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1295329001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W SPUR AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W SPUR AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336352",
            "telephone_number": "623-521-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "OKWUOBU",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-521-0505"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "620 W Spur Ave",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852336352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legacy Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coleman Lefevor, DPT
• Andrew Lefevre
• Reid Tiffany Lefler, OTD, OTR/L
• Legacy Chiropractic Partners LLC
• Legacy Family Medical, PC
• Sarah E Legrand, DPT
• Derick Lehman
• Tyler J. Leifson, CRNA
• Stacey Leija
• Leila Peterson, PLLC

• Community/Behavioral Health Agency in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.