Organization Active NPI

Legacy Healthcare Management, Inc.

  • Adult Care Home Facility
  • Little Rock, AR
National Provider Identifier
1306105945
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LEGACY HEALTHCARE MANAGEMENT, INC.
Practice address
4800 W 13TH St
Ste #D
Little Rock, AR 72204-1900
Phone
(501) 353-2035
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Julius Lamont Moore, LNHA
Title
Secretary
Phone
(501) 392-2924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4800 W 13TH St
Ste #D
Little Rock, AR 72204-1900

Mailing address

4800 W 13TH St
Ste #D
Little Rock, AR 72204-1900
Phone (501) 353-2035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1306105945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 13TH ST",
            "address_2": "STE #D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041900",
            "telephone_number": "501-353-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W 13TH ST",
            "address_2": "STE #D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041900",
            "telephone_number": "501-353-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "501-392-2924",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.