Lindmar Legacy, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LINDMAR LEGACY, LLC

Doing business as

La Bella Legacy

Practice address

2051 Little Rd
Trinity, FL 34655-4421

Phone

(727) 267-4051

Fax

(844) 481-0837

NPI assigned

Oct 14, 2018

Last updated

Oct 14, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

LINDMAR LEGACY, LLCAs reported in NPPES

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

Authorized official

Name

William Lindmar

Title

Owner/Administrator

Phone

(727) 267-4051

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Bella Legacy Doing business as

Part of

Lindmar Legacy LLC

Locations

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1811463144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-267-4051",
            "fax_number": "844-481-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-267-4051",
            "fax_number": "844-481-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDMAR LEGACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINDMAR LEGACY, LLC",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "LINDMAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-267-4051"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Bella Legacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Anthony Leonard, CAA
• Astrid Carolina Leonardo
• Alec Lerner, MD
• Corey Leskanic, MD
• Linda Velez LLC (Trinity Counseling Services)
• Raphael Liy, DDS
• Emily Ann Logan, PHARM.D.
• Brianna Lyn Lombardo
• Madison Long
• Nikolaos Lontos, MD

• Adult Day Care Clinic/Center in Trinity, FL
• Providers in Trinity, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.