Legacy Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY SENIOR LIVING LLC

Practice address

19892 Potomac LN
Huntington Beach, CA 92646-3520

Phone

(714) 785-9555

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Honglan Tran

Title

Cfo

Phone

(714) 785-9555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1548977184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19892 POTOMAC LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463520",
            "telephone_number": "714-785-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19892 POTOMAC LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463520",
            "telephone_number": "714-785-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HONGLAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-785-9555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamlyn S. Lee, DDS
• Ted T Lee, M.D.
• Zhanna Lee
• Trang Ngoc Leete
• Legacy Senior Living 2 LLC
• Anna M Legue, OTD, OTR/L
• Daniella Lenhardt
• Melody Lennington
• Paul Lennon, MS
• Brandon Leong

• Assisted Living Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.