Legacy Healthcare Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

209900 Issued in TX

Legal business name

LEGACY HEALTHCARE SERVICES, INC.

Practice address

1517 Edna LN
Longview, TX 75602-4915

Phone

(903) 557-0746

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Katrina Denean JohnsonNPI 1023276318

Title

C.O.T.a.

Phone

(903) 557-0746

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Katrina Denean Johnson, C.O.T.A.

  • Occupational Therapy Assistant
  • Kilgore, TX
  • NPI 1023276318
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1689840266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 EDNA LN",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756024915",
            "telephone_number": "903-557-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 EDNA LN",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756024915",
            "telephone_number": "903-557-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "DENEAN",
        "authorized_official_title_or_position": "C.O.T.A.",
        "authorized_official_telephone_number": "903-557-0746",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "209900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE",
            "identifier": "209900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lebus, DO
• Hanna Lee
• James Lee, NP
• Lauren Nichole Lee, PA-C
• Wayne N Leeves, MD
• George Wayne Legg
• Trisha Renee Leggon
• Rebecca Leineweber, LCSW
• Molly Lopez Lemaire
• Lanie Lenhart, MS, CCC-SLP

• Skilled Nursing Facility in Longview, TX
• Providers in Longview, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.