Organization Active NPI

Legacy Il Operating Co, LLC

  • Assisted Living Facility
  • Memphis, TN
National Provider Identifier
1316302367
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACY IL OPERATING CO, LLC
Doing business as
Legacy Estates at Lenox Park
Practice address
6539 Knight Arnold Road
Memphis, TN 38115-0697
Phone
(901) 360-8785
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Mr. Damon Renoid Sanders
Title
Administrator
Phone
(901) 360-8785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6539 Knight Arnold Road
Memphis, TN 38115-0697

Mailing address

6539 Knight Arnold Road
Memphis, TN 38115-0697
Phone (901) 360-8785

Other names 1

  • Legacy Estates at Lenox Park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1316302367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 KNIGHT ARNOLD ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150697",
            "telephone_number": "901-360-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 KNIGHT ARNOLD ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150697",
            "telephone_number": "901-360-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY IL OPERATING CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "RENOID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-360-8785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Estates at Lenox Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.