Dakks Legacy LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DAKKS LEGACY LLC

Doing business as

Legacy Family Care Home LLC

Practice address

608 Cockrell Street
Nashville, NC 27856

Phone

(252) 907-8363

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Tara Scott

Title

Owner

Phone

(252) 907-8999

Specialties & licenses 1

Addresses

Other names 1

• Legacy Family Care Home LLC Doing business as

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1326626813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 NICOLE RD",
            "city": "SPRING HOPE",
            "state": "NC",
            "postal_code": "27882",
            "telephone_number": "252-907-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 COCKRELL STREET",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "27856",
            "telephone_number": "252-907-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKKS LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-907-8999"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Family Care Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy Josephine Cortez
• County of Nash (Nash County Health Department CAP)
• County of Nash (Nash County Home Health Agency)
• County of Nash (Nash County Health Department)
• Nicole Marie Czechowicz, DPT
• Joanna Dauber, DO
• Matthew Stancil Davenport
• Heather Hanes Davis, PA-C
• Kimberly Renee Davis
• Deliverance With Care Transportation, LLC

• Adult Care Home Facility in Nashville, NC
• Providers in Nashville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.