Active NPI
Legacy Care, Inc.
Doing business as Water Oak Manor
- Assisted Living Facility
- New Bern, NC
National Provider Identifier
1407177603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL025030
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.