Organization Active NPI

Nexgen Legacy LLC

  • Community/Behavioral Health Agency
  • Westerville, OH
National Provider Identifier
1720964083
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEXGEN LEGACY LLC
Practice address
6350 Brimson St
Westerville, OH 43081-4364
Phone
(651) 500-1030
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Abdirizak Omar
Title
Owner
Phone
(651) 500-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6350 Brimson St
Westerville, OH 43081-4364

Mailing address

6350 Brimson St
Westerville, OH 43081-4364

National Provider Directory

National Provider Directory
Tax ID family
Nexgen Legacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1720964083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 BRIMSON ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 BRIMSON ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814364",
            "telephone_number": "651-500-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-500-1030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.