Organization Active NPI

New Legacy Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
National Provider Identifier
1477062487
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
810588 Issued in KY
Legal business name
NEW LEGACY RECOVERY LLC
Practice address
1510 Newtown Pike Ste 120
Lexington, KY 40511-1255
Phone
(859) 618-6800
Fax
(949) 315-3013
NPI assigned
Sep 21, 2017
Last updated
Sep 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Authorized official

Name
Stacey Flynn
Title
Insurance Director
Phone
(949) 419-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 810588 KY Primary

Addresses

Primary practice location

1510 Newtown Pike Ste 120
Lexington, KY 40511-1255

Mailing address

PO Box 12295
Lexington, KY 40582-2295
Phone (859) 618-6800

National Provider Directory

National Provider Directory

Locations

1510 Newtown Pike
Ste 120
Lexington, KY 40511
Phone (859) 618-6800

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1477062487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12295",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405822295",
            "telephone_number": "859-618-6800",
            "fax_number": "949-315-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NEWTOWN PIKE STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111255",
            "telephone_number": "859-618-6800",
            "fax_number": "949-315-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEGACY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "949-419-5700"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KY",
            "license": "810588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.