Legacy1864, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY1864, LLC

Practice address

1620 E Mead St
Spokane, WA 99218-1772

Phone

(509) 467-1135

Fax

(509) 468-7906

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Ryan Knudson

Title

Ceo/President

Phone

(509) 954-6919

Specialties & licenses 2

Addresses

Other names 1

• Willow Grove Doing business as

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1407735095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990211438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E MEAD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181772",
            "telephone_number": "509-467-1135",
            "fax_number": "509-468-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY1864, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "509-954-6919"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Magdelena Leffel, PHARMD
• Timothy E Lefkowski, COTA/L
• Katherine Leigh Lefler, RD
• Legacy Learners
• Legacy Neuromonitoring, LLC
• Russell Laurence Legg, MD
• Tanya Ann Lehfeldt, MS, CGC
• Jayna Lehman
• Lisa Ranae Lehman, RPH
• Michael Joseph Lehman, ND

• Assisted Living Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.