Organization Active NPI

Legacyone Rcfe LLC

  • Assisted Living Facility
  • Clovis, CA
National Provider Identifier
1326864505
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACYONE RCFE LLC
Practice address
1933 Morris Ave
Clovis, CA 93611-1492
Phone
(559) 433-7896
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Hripsima Makaryan
Title
Licensee
Phone
(559) 433-7896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1933 Morris Ave
Clovis, CA 93611-1492

Mailing address

1933 Morris Ave
Clovis, CA 93611-1492
Phone (559) 433-7896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1326864505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 MORRIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936111492",
            "telephone_number": "559-433-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 MORRIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936111492",
            "telephone_number": "559-433-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACYONE RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MAKARYAN",
        "authorized_official_first_name": "HRIPSIMA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "559-433-7896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.