Active NPI
Legacy Circle of Care
- Mental Illness Community Based Residential Treatment Facility
- Hampton, VA
National Provider Identifier
1629993944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- LEGACY CIRCLE OF CARE
- Practice address
- 627 Rolfe St
Hampton, VA 23661-2438 - Phone
- (757) 358-0605
- NPI assigned
- Aug 13, 2026
- Last updated
- Aug 13, 2026
- 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
- Shanell Roberts
- Title
- Ceo
- Phone
- (757) 358-0605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
627 Rolfe St
Hampton, VA 23661-2438
Mailing address
112 Runnel St
Hampton, VA 23666-4390
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Virginia Beach, VA
- NPI 1659007847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1629993944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 RUNNEL ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236664390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 ROLFE ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236612438",
"telephone_number": "757-358-0605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY CIRCLE OF CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "SHANELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-358-0605"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.