Legacy Village Greenhouse Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

038 Issued in AR

Legal business name

LEGACY VILLAGE GREENHOUSE CORP

Practice address

1303 NE Legacy Pkwy
Bentonville, AR 72712-4940

Phone

(479) 271-2387

Fax

(479) 273-5883

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Cristie Ginther

Title

Guide

Phone

(479) 271-2387

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1760617245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE LEGACY PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124940",
            "telephone_number": "479-271-2387",
            "fax_number": "479-273-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE LEGACY PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124940",
            "telephone_number": "479-271-2387",
            "fax_number": "479-273-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VILLAGE GREENHOUSE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "GINTHER",
        "authorized_official_first_name": "CRISTIE",
        "authorized_official_title_or_position": "GUIDE",
        "authorized_official_telephone_number": "479-271-2387",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175718794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Lee, MHPP
• Drake David Lee
• Gao Yee Lee
• Kenneth Lee
• Jacob B. Leet, O.D.
• Shelby Leigh
• John Leimberg, MHPP
• Katherine Nicole Leis, LAC
• Amy Jane Lenz
• Benjie Acosta Letran, OT

• Assisted Living Facility in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.