Legacy Living Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY LIVING ENTERPRISES, LLC

Practice address

810 Wicks LN
Billings, MT 59105-4426

Phone

(406) 270-8580

Fax

(406) 578-1704

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Claire Banderob

Title

Owner/Administrator

Phone

(406) 252-0042

Specialties & licenses 1

Addresses

Other names 1

• The Legacy Assisted Living, LLC Former legal business name

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1427873934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WICKS LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054426",
            "telephone_number": "406-270-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WICKS LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054426",
            "telephone_number": "406-270-8580",
            "fax_number": "406-578-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIVING ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BANDEROB",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "406-252-0042"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Legacy Assisted Living, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark C Lee, M.D.
• Rodney W Lee, M.D.
• Staci M Lee, MD
• Kaitlyn Leenheers, PA-C
• Kimberly Marie Lefore, NCMMT
• Legacy Smiles International
• Laurie J Legocki, PHD
• Dustin Lehman, LCPC
• Loretta Kathryn Lehman, LMT
• David R. Lehnherr, MD

• Assisted Living Facility in Billings, MT
• Providers in Billings, MT by specialty
• Assisted Living Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.