Legacy Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY CENTER LLC

Practice address

1335 Bauer LN
Canon City, CO 81212-4670

Phone

(719) 275-2917

Fax

(719) 269-8354

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Prather

Title

Executive Director

Phone

(719) 275-2917

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher J Buchanan, MD

  • Internal Medicine Physician
  • Canon City, CO
  • NPI 1245227040
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679798300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 BAUER LANE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "719-275-2917",
            "fax_number": "719-269-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BAUER LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124670",
            "telephone_number": "719-275-2917",
            "fax_number": "719-269-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-275-2917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04182119",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry K Larson, M.D.
• Anil K Lartius
• Kyle J. Lassiter, L.P.C.
• Learning Curve, Inc
• Geraldine M Lee, LCSW
• Jenny Lehl, LPN
• Charles Lentz, MA, LPC
• Lana Louise Leonard
• Terrie Leonard, M.A.
• Lets Talk Speech Therapy

• Assisted Living Facility in Canon City, CO
• Providers in Canon City, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.