NPIMap

Organization Active NPI

Legacy Human Services, Inc.

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1780252007
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY HUMAN SERVICES, INC.
Practice address
626 S Garnett St
Henderson, NC 27536-4509
Phone
(252) 492-8699
Fax
(252) 492-1172
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Lynn Fleming
Title
Finance Director
Phone
(252) 492-8699

Specialties & licenses 1

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

Addresses

Primary practice location

626 S Garnett St
Henderson, NC 27536-4509

Mailing address

PO Box 88
Henderson, NC 27536-0088
Phone (252) 492-8699

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2085778Legacy Human Services, Inc626 S Garnett St, Henderson, NC 27536Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Legacy Human Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

626 S Garnett St
Henderson, NC 27536
Phone (252) 492-8699

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1780252007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275360088",
            "telephone_number": "252-492-8699",
            "fax_number": "252-492-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364509",
            "telephone_number": "252-492-8699",
            "fax_number": "252-492-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "252-492-8699"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.