Legends Recovery Center of Ohio LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGENDS RECOVERY CENTER OF OHIO LLC

Practice address

430 N Broadway St
Green Springs, OH 44836-9734

Phone

(419) 307-9128

NPI assigned

May 2, 2025

Organization subpart

No

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

Authorized official

Name

Joshua Koenig

Title

Coo

Phone

(908) 627-7100

Specialties & licenses 2

Addresses

Tax ID family

Legends Recovery Center of Ohio 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.

• Legends Recovery Center of Ohio LLC

  • Substance Abuse Rehabilitation Facility
  • Green Springs, OH
  • NPI 1942939764
  NPD tax ID

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1740079243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN AVE STE 121",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369734",
            "telephone_number": "419-307-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDS RECOVERY CENTER OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-627-7100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda E Kralik, OT
• La Hair Design LLC
• Alyssa Lane, RN
• Darryl Keith Lanier Jr.
• Denise Marie Lawson, NP
• Legends Recovery Center of Ohio LLC
• Kandyce Ariel Lester
• Kaila Brianna Lindsay, LPN
• Samantha Magers, RN
• Anna Matney

• Community/Behavioral Health Agency in Green Springs, OH
• Providers in Green Springs, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.