Organization Active NPI

The Legacy Willow Bend, Inc.

Doing business as The Legacy at Willow Bend

  • Skilled Nursing Facility
  • Plano, TX
National Provider Identifier
1396929543
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE LEGACY WILLOW BEND, INC.
Doing business as
The Legacy at Willow Bend
Practice address
6101 Ohio Dr Ste 500
Plano, TX 75024-2733
Phone
(972) 468-6300
Fax
(972) 468-6214
NPI assigned
Dec 24, 2007
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Terry Purchal
Title
Cfo
Phone
(972) 468-6176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6101 Ohio Dr Ste 500
Plano, TX 75024-2733

Mailing address

6101 Ohio Dr Ste 500
Plano, TX 75024-2733
Phone (972) 468-6277

Other names 1

  • The Legacy at Willow Bend Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000445 TX Part A Provider - Skilled Nursing Facility 0143306266 Practice locations: Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396929543. Details of each certification follow.

Skilled nursing facility certification: CCN 676189

Legal name
THE LEGACY WILLOW BEND, INC.
Doing business as
THE LEGACY AT WILLOW BEND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 24, 2008
Last certification
Sep 19, 2024
Beds
60
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Legacy Senior Communities
Organization structure
CorporationNon-profit
Incorporated
May 3, 2005 in TX
Enrollment address
6101 Ohio Dr
Ste 500
Plano, TX 75024-2733
Nursing home name
THE LEGACY AT WILLOW BEND

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Legacy at Willow BendCCN 676189 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 24, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2303090Curana Health Clinic at Legacy Willow Bend6101 Ohio Drive, Plano, TX 75024Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Legacy at Willow Bend Retirement Community Inc2 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.

Locations

6101 Ohio Dr
Ste 500
Plano, TX 75024
Phone (972) 468-6176

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
The Legacy Willow Bend, Inc. Organization, Dallas, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Adp of the SNF Oct 12, 2006
Lakeesha Jenkins Individual Adp of the SNF Mar 7, 2022
Bridgette Walshe Individual Corporate OfficerCoo Sep 24, 2021
Adp of the SNF Sep 24, 2021
The Legacy Senior Communities Inc Organization, Dallas, TX Corporation, Non-profit Operational/Managerial Control Oct 1, 2022
Adp of the SNF Apr 15, 2025
Vaqar Dar Individual Adp of the SNF Apr 1, 2012
Scott Snorton Individual Corporate OfficerCfo Jun 3, 2024
Adp of the SNF Jun 3, 2024
Deanna Stansbury Individual Operational/Managerial Control Apr 6, 2022
Adp of the SNF Apr 6, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1396929543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 OHIO DR STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242733",
            "telephone_number": "972-468-6277",
            "fax_number": "972-468-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 OHIO DR STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242733",
            "telephone_number": "972-468-6300",
            "fax_number": "972-468-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY WILLOW BEND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "PURCHAL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-468-6176"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Legacy at Willow Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Legacy at Willow Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.