Legend Rehabilitation and Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0721 Issued in MA

Legal business name

LEGEND REHABILITATION AND NURSING CENTER INC

Practice address

59 Eastwood Cir
Gardner, MA 01440-3901

Phone

(978) 632-8776

Fax

(978) 632-5048

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Alan Cormier

Title

Owner

Phone

(978) 632-8776

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1558356949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 EASTWOOD CIR",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403901",
            "telephone_number": "978-632-8776",
            "fax_number": "978-632-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 EASTWOOD CIR",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403901",
            "telephone_number": "978-632-8776",
            "fax_number": "978-632-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND REHABILITATION AND NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-632-8776"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "805580",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928992",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "32655",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2222519601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary John Leblanc Jr., MA
• Jessica Leblanc, FNP - C
• Troy Leblanc, LMHC
• Tyler R Leblanc
• Elizabeth Jane Ledeboer, SLP
• Samuel Tyler Leger, PA-C
• Douglas F Leigh, D.DS.
• Victoria Lemire, OTR/L
• Lennon Street Dental Associates PLLC
• Rachael A Lenthall, MS, RD, LDN

• Skilled Nursing Facility in Gardner, MA
• Providers in Gardner, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.