Active NPI
Legacy Healthcare Services, Inc
Doing business as Legacy Healthcare at Winston Salem
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEGACY HEALTHCARE SERVICES, INC
- Doing business as
- Legacy Healthcare at Winston Salem
- Practice address
- 1199 Hayes Forest Dr
Winston Salem, NC 27106-3377 - Phone
- (336) 759-8006
- Fax
- (336) 759-8019
- NPI assigned
- Sep 4, 2014
- Last updated
- Sep 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra M Hoskins
- Title
- President
- Phone
- (919) 424-5081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1199 Hayes Forest Dr
Winston Salem, NC 27106-3377
Mailing address
3001 Spring Forest Rd
Raleigh, NC 27616-2815
Phone (919) 424-5080
Other names 1
- Legacy Healthcare at Winston Salem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141028002707 | NC | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 2163339722 | Practice locations: Greensboro, NC; Winston Salem, NC; High Point, NC; Burlington, NC |
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Windsor Point Inc CCRC | Skilled nursing facility | Adp of the SNF | Jul 1, 2011 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Raleigh, NC
- NPI 1801090949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1356741763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162815",
"telephone_number": "919-424-5080",
"fax_number": "919-431-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 HAYES FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063377",
"telephone_number": "336-759-8006",
"fax_number": "336-759-8019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "HOSKINS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-424-5081"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Healthcare at Winston Salem",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.