NPIMap

Organization Active NPI

Legacy Health and Wellness, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1386982932
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E0435602012-5 Issued in NV
Legal business name
LEGACY HEALTH AND WELLNESS, LLC
Practice address
911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381
Phone
(702) 366-3340
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Abby Marie Grossa
Title
Cfo
Phone
(702) 338-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E0435602012-5 NV Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381

Mailing address

911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381
Phone (702) 366-3340

National Provider Directory

National Provider Directory
Tax ID family
Legacy Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1386982932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-366-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-366-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GROSSA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-338-8373"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "E0435602012-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.