Organization Active NPI

Legion Manor LLC

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1427776814
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGION MANOR LLC
Practice address
6842 E Posada Cir
Mesa, AZ 85212-2944
Phone
(480) 629-5015
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
John Lacanilao
Title
Assisted Living Manager
Phone
(602) 551-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6842 E Posada Cir
Mesa, AZ 85212-2944

Mailing address

6842 E Posada Cir
Mesa, AZ 85212-2944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1427776814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 E POSADA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 E POSADA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122944",
            "telephone_number": "480-629-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGION MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "LACANILAO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "602-551-4224"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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