Legacy Centerville Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY CENTERVILLE OPERATING COMPANY, LLC

Doing business as

Legacy Centerville

Practice address

1001 E Alex Bell Rd
Centerville, OH 45459-2637

Phone

(937) 436-9700

Fax

(937) 436-1495

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Jim Taylor

Title

Ceo

Phone

(440) 590-0969

Specialties & licenses 1

Addresses

Other names 1

• Legacy Centerville Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary John Palmer, M.D.

  • Internal Medicine Physician
  • Centerville, OH
  • NPI 1053316893
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1861196982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E ALEX BELL RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592637",
            "telephone_number": "937-436-9700",
            "fax_number": "937-436-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CENTERVILLE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-590-0969"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Centerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lara Layton
• Stacy Leach
• Mary Ellen Leary, MD
• Kristal Ledbetter, FNP-C
• Shelley Lee
• Joel Legawiec, LPN
• Noah Lemaster Bell
• Paul Michael Levy, D.O.
• Akia Lewis
• Amani Lewis

• Skilled Nursing Facility in Centerville, OH
• Providers in Centerville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.