Organization Active NPI

Legacy Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
National Provider Identifier
1780345850
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LEGACY RECOVERY CENTER LLC
Practice address
24745 S Lindsay Rd
Chandler, AZ 85249-9581
Phone
(623) 414-2978
NPI assigned
Dec 31, 2021
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Richard Miller
Title
Chief Executive Officer
Phone
(936) 615-0981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

24745 S Lindsay Rd
Chandler, AZ 85249-9581

Mailing address

24745 S Lindsay Rd
Chandler, AZ 85249-9581
Phone (623) 414-2978

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andy@legacyrecoverycenter.com Direct

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
03D2284128Legacy Recovery Center24745 S Lindsay Rd, Chandler, AZ 85249Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Legacy Recovery Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1780345850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24745 S LINDSAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852499581",
            "telephone_number": "623-414-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24745 S LINDSAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852499581",
            "telephone_number": "623-414-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "936-615-0981"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@legacyrecoverycenter.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24745 S Lindsay Rd",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852499581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.