Legacy Villa Senior Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY VILLA SENIOR CARE INC.

Doing business as

Legacy Villa Senior Care

Practice address

21012 Doble Avenue
Torrance, CA 90502

Phone

(424) 558-8971

Fax

(424) 263-4026

NPI assigned

Oct 24, 2025

Organization subpart

No

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

Authorized official

Name

Teresita Cruz Bautista

Title

Administrator/Licensee

Phone

(310) 418-7938

Specialties & licenses 1

Addresses

Other names 1

• Legacy Villa Senior Care Doing business as

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1639047491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25303 MONTEREY CIR",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "90717",
            "telephone_number": "310-418-7938",
            "fax_number": "424-263-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21012 DOBLE AVENUE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "424-558-8971",
            "fax_number": "424-263-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VILLA SENIOR CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "310-418-7938"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Villa Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Torrance, CA
• Providers in Torrance, 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 Oct 24, 2025; 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.