Active NPI
Legacy1326, LLC
- Community/Behavioral Health Agency
- Des Moines, IA
National Provider Identifier
1679480057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LEGACY1326, LLC
- Practice address
- 4220 Grand Ave Apt 12
Des Moines, IA 50312-2453 - Phone
- (515) 201-4163
- NPI assigned
- Aug 24, 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
- Raquel Mbuthia
- Title
- Owner
- Phone
- (515) 201-4163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4220 Grand Ave Apt 12
Des Moines, IA 50312-2453
Mailing address
4220 Grand Ave Apt 12
Des Moines, IA 50312-2453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1679480057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 GRAND AVE APT 12",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 GRAND AVE APT 12",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122453",
"telephone_number": "515-201-4163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY1326, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "MBUTHIA",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-201-4163"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.