Active NPI
Legacy Care Nursing LLC
- Registered Nurse
- Bonney Lake, WA
National Provider Identifier
1447155395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- LEGACY CARE NURSING LLC
- Practice address
- 17016 127TH Street CT E
Bonney Lake, WA 98391-5588 - Phone
- (314) 629-9062
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Mutua, RN
- Title
- Owner
- Phone
- (314) 629-9062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
17016 127TH Street CT E
Bonney Lake, WA 98391-5588
Mailing address
17016 127TH Street CT E
Bonney Lake, WA 98391-5588
Phone (314) 629-9062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1447155395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17016 127TH STREET CT E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983915588",
"telephone_number": "314-629-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17016 127TH STREET CT E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983915588",
"telephone_number": "314-629-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY CARE NURSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-11",
"status": "A",
"authorized_official_last_name": "MUTUA",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-629-9062",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.