NPIMap

Organization Active NPI

Legacy BHC

  • Health Maintenance Organization
  • Stuart, FL
National Provider Identifier
1497048078
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
LEGACY BHC
Practice address
4747 SE Duval Drive
Stuart, FL 34997
Phone
(772) 631-6892
Fax
(772) 597-6399
NPI assigned
May 16, 2011
Organization subpart
Yes
Parent organization
LEGACY BHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Placida Suarez, TCMNPI 1114210283
Title
Target Case Manager
Phone
(772) 631-6892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

4747 SE Duval Drive
Stuart, FL 34997

Mailing address

4747 SE Duval Dr
Stuart, FL 34997-1504
Phone (772) 631-6892

National Provider Directory

National Provider Directory
Part of
Legacy BHC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1497048078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 SE DUVAL DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971504",
            "telephone_number": "772-631-6892",
            "fax_number": "772-597-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 SE DUVAL DRIVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-631-6892",
            "fax_number": "772-597-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY BHC",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "PLACIDA",
        "authorized_official_title_or_position": "TARGET CASE MANAGER",
        "authorized_official_telephone_number": "772-631-6892",
        "authorized_official_credential": "TCM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.