Active NPI
Legacy Healthcare Services
- Skilled Nursing Facility
- High Point, NC
National Provider Identifier
1629301130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LEGACY HEALTHCARE SERVICES
- Practice address
- 1315 Greensboro Rd
High Point, NC 27260-2611 - Phone
- (133) 682-1692
- NPI assigned
- Sep 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Manal Alan Fakhoury, M.A., CFY-SLP
- Title
- Speech-Language Pathologist
- Phone
- (919) 306-1847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1315 Greensboro Rd
High Point, NC 27260-2611
Mailing address
3001 Spring Forest Rd
Raleigh, NC 27616-2815
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252972800000",
"number": "1629301130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 GREENSBORO RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272602611",
"telephone_number": "133-682-1692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A",
"authorized_official_last_name": "FAKHOURY",
"authorized_official_first_name": "MANAL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "919-306-1847",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A., CFY-SLP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.