Organization Active NPI

Legacy Healthcare Services

  • Assisted Living Facility
  • Littleton, CO
National Provider Identifier
1720483738
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
SLP.0000234 Issued in CO
Legal business name
LEGACY HEALTHCARE SERVICES
Practice address
5327 S Jellison St
Littleton, CO 80123-2185
Phone
(720) 383-8383
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Mrs. Kristen Friedrich, OTR
Title
Colorado Area Rehab Manager
Phone
(303) 475-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X SLP.0000234 CO Primary

Addresses

Primary practice location

5327 S Jellison St
Littleton, CO 80123-2185

Mailing address

5327 S Jellison St
Littleton, CO 80123-2185
Phone (720) 383-8383

National Provider Directory

National Provider Directory
Tax ID family
Legacy Healthcare Services61 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1720483738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 S JELLISON ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232185",
            "telephone_number": "720-383-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 S JELLISON ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232185",
            "telephone_number": "720-383-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "COLORADO AREA REHAB MANAGER",
        "authorized_official_telephone_number": "303-475-9772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "SLP.0000234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.