Legacy

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2019808 Issued in TX

Legal business name

LEGACY

Practice address

4201 FM 105
Orange, TX 77630-1272

Phone

(409) 670-1457

NPI assigned

Nov 19, 2008

Last updated

Nov 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Dean Schmuck

Title

Pta/Staff

Phone

(409) 962-4195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1730334640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 FM 105",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301272",
            "telephone_number": "409-670-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 FM 105",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301272",
            "telephone_number": "409-670-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHMUCK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PTA/STAFF",
        "authorized_official_telephone_number": "409-962-4195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "2019808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Steven L. Lackey, LPC-S
• Walter E Landisch, DDS
• Laser Rehabilitation Clinic
• Gary Leblanc, RPH
• Nina P Scales Leifeste, DDS
• Leonides Medrano, MD,PA
• Little Cypress-Maruiceville Isd
• Lou Randall Locke, FNP
• Fernando Lozano, LCDC

• Skilled Nursing Facility in Orange, TX
• Providers in Orange, 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 Nov 19, 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.