Organization Active NPI

Legacy Care, Inc.

Doing business as Water Oak Manor

  • Assisted Living Facility
  • New Bern, NC
National Provider Identifier
1407177603
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL025030 Issued in NC
Legal business name
LEGACY CARE, INC.
Doing business as
Water Oak Manor
Practice address
3407 Oaks Rd
New Bern, NC 28560-2718
Phone
(252) 633-1143
Fax
(252) 633-0422
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Harry Edwards
Title
President
Phone
(252) 633-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL025030 NC Primary

Addresses

Primary practice location

3407 Oaks Rd
New Bern, NC 28560-2718

Mailing address

PO Box 1189
New Bern, NC 28563-1189
Phone (252) 633-1143

Other names 1

  • Water Oak Manor Doing business as

National Provider Directory

National Provider Directory

Locations

3407 Oaks Rd
New Bern, NC 28560
Phone (252) 633-1143

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1407177603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285631189",
            "telephone_number": "252-633-1143",
            "fax_number": "252-633-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 OAKS RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602718",
            "telephone_number": "252-633-1143",
            "fax_number": "252-633-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-633-1143"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL025030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water Oak Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.