Legacy Living Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY LIVING HOMES LLC

Doing business as

My Legacy Living

Practice address

3662 Patricia Dr NW
Concord, NC 28027-5625

Phone

(704) 412-9906

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorenzo McNulty

Title

Administrator-in-Trainor

Phone

(704) 778-9999

Specialties & licenses 2

Addresses

Other names 1

• My Legacy Living Doing business as

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1508581000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11322 ERWIN RIDGE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134863",
            "telephone_number": "704-778-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 PATRICIA DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275625",
            "telephone_number": "704-412-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIVING HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "ADMINISTRATOR-IN-TRAINOR",
        "authorized_official_telephone_number": "704-778-9999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Legacy Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rusty J Lee, MD
• Sharon Lee, LCASA
• Taylor Suzane Lee
• Albert Joseph Lefran, DPT
• Legacy Healthcare
• Legend Logistics LLC
• Legendaryco LLC
• Anita Legette
• Kyrsten R Legrant
• Patrick Doyle Leidig, M.D.

• Assisted Living Facility in Concord, NC
• Providers in Concord, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.