Legacy House Community Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY HOUSE COMMUNITY SERVICE

Practice address

11747 N 19TH Ave Ste 104
Phoenix, AZ 85029-3590

Phone

(901) 215-6101

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Francine RobertsonNPI 1770356123

Title

Owner

Phone

(901) 215-6101

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Francine Antonette Robertson

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1770356123
  NPD Authorized official
• Gladys E Alonso

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1366215725
  NPD
• Marneisha Y King

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1740053107
  NPD

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1730890047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 N 19TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293590",
            "telephone_number": "901-215-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11747 N 19TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293590",
            "telephone_number": "901-215-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOUSE COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-215-6101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Ann Leflore
• Larry Leforte II, PARAMEDIC
• Legacy Care LLC
• Legacy Healing Health Communty LLC
• Legacy Healthcares LLC
• Legacy of Hearts Assisted Living LLC
• Legacy Trans LLC
• Legacy Treatment Center LLC
• Legacy Wellness PLLC
• Michael Legal

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.