Organization Active NPI

Nextgen Legacy Holdings LLC

  • Substance Abuse Rehabilitation Facility
  • Dearborn, MI
National Provider Identifier
1457298259
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NEXTGEN LEGACY HOLDINGS LLC
Practice address
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone
(312) 256-5459
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Virginia Mayes
Title
Managing Manger
Phone
(312) 256-5459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Mailing address

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone (312) 256-5459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1457298259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "312-256-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "312-256-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN LEGACY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "MANAGING MANGER",
        "authorized_official_telephone_number": "312-256-5459"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.