Active NPI
Living Legacy Adult Day Health Program
- Adult Day Care Clinic/Center
- Kinston, NC
National Provider Identifier
1700690856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LIVING LEGACY ADULT DAY HEALTH PROGRAM
- Practice address
- 1001 E King St
Kinston, NC 28501-5733 - Phone
- (252) 408-8330
- NPI assigned
- Feb 6, 2025
- 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
- Mrs. Lateefah Khadejah Irvine
- Title
- Owner
- Phone
- (973) 393-5188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1001 E King St
Kinston, NC 28501-5733
Mailing address
1004 E Bright St
Kinston, NC 28501-5720
Phone (252) 408-8330
National Provider Directory
National Provider DirectoryLocations
1001 E King St
Kinston, NC 28501
Phone (252) 408-8330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1700690856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 E BRIGHT ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285015720",
"telephone_number": "252-408-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E KING ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285015733",
"telephone_number": "252-408-8330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING LEGACY ADULT DAY HEALTH PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "IRVINE",
"authorized_official_first_name": "LATEEFAH",
"authorized_official_middle_name": "KHADEJAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-393-5188",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.