Legacy Family Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1212-01-001 Issued in VA

Legal business name

LEGACY FAMILY SERVICES, LLC

Practice address

8385 Cardova Cir
Richmond, VA 23227-1548

Phone

(804) 908-7374

Fax

(804) 354-6006

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya Judon-Winston

Title

Owner/Administrator

Phone

(804) 908-7374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1417260357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 BONNEAU RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272008",
            "telephone_number": "804-908-7374",
            "fax_number": "804-354-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 CARDOVA CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271548",
            "telephone_number": "804-908-7374",
            "fax_number": "804-354-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "JUDON-WINSTON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "804-908-7374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1212-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacee Inc
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• Legacy and Light LLC
• Legacy Counseling and Wellness Services, LLC
• Legacy Family & Behavioral Health Services
• Legacy Health Management Solutions
• Legacy Pathways of Virginia Inc.
• Ann A. Leggett, N.P.
• Brittany Rae Leggett, BCBA, LBA
• Marilyn Shimko Legrow

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.