Organization Active NPI

Legacy Impact Network LLC

  • Homemaker
  • Dayton, OH
National Provider Identifier
1679400832
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
LEGACY IMPACT NETWORK LLC
Practice address
40 W 2ND St Ste 200
Dayton, OH 45402-1873
Phone
(937) 867-9811
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Quinton L Alstork, OWNER
Title
Ceo
Phone
(937) 867-9811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

40 W 2ND St Ste 200
Dayton, OH 45402-1873

Mailing address

40 W 2ND St Ste 200
Dayton, OH 45402-1873
Phone (937) 867-9811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1679400832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 2ND ST STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021873",
            "telephone_number": "937-867-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 2ND ST STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021873",
            "telephone_number": "937-867-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY IMPACT NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "ALSTORK",
        "authorized_official_first_name": "QUINTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-867-9811",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.