Legendary Nursing & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGENDARY NURSING & REHABILITATION CENTER, LLC

Practice address

809 E Gordon St
Marshall, MO 65340-2811

Phone

(660) 886-2247

Fax

(660) 886-8412

NPI assigned

Apr 12, 2019

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbie Young

Title

Director of Operations

Phone

(573) 225-0947

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Naser Almasalmeh, M.D.

  • Internal Medicine Physician
  • Florissant, MO
  • NPI 1184698243
  NPD (past)
• Abdullah Arshad, MD

  • Internal Medicine Physician
  • Hayti, MO
  • NPI 1477660637
  NPD (past)
• Carrie M Peecher, DO

  • Family Medicine Physician
  • Marshall, MO
  • NPI 1699070052
  NPD (past)
• Andrew R Wyant, MD

  • Family Medicine Physician
  • Marshall, MO
  • NPI 1821087172
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1407319759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FALCON DRIVE",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "63863",
            "telephone_number": "573-225-0947",
            "fax_number": "573-357-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E GORDON ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402811",
            "telephone_number": "660-886-2247",
            "fax_number": "660-886-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-225-0947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103404406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Andrew Lappin, R.PH.
• Michael E Larsen, LCSW
• Delee B Leach, PTA, ATC
• Rachel Leavitt, RN, NC-BC, CD
• Legendary Health Care Center, L.L.C. (Legendary Health Care Center)
• Legendary SNF Opco LLC (Legendary Health Care Center)
• Susan Elizabeth Lichtenberg
• Lifetime Dental Associates
• Ivet Lloansi Rodriguez, ATC
• Matthew Long, ATC, LAT

• Skilled Nursing Facility in Marshall, MO
• Providers in Marshall, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.