Legacy Terrace L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF096 Issued in NE

Legal business name

LEGACY TERRACE L.P.

Practice address

5700 Fremont St
Lincoln, NE 68507-1674

Phone

(402) 464-5700

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

John Kopetzky

Title

Executive Director

Phone

(402) 464-5700

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 1

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

• Timothy J Dalton, MD

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1811950694
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1871897751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 FREMONT ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 FREMONT ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071674",
            "telephone_number": "402-464-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TERRACE L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "KOPETZKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-464-5700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA HEALTH AND HUMAN SERVICES",
            "identifier": "ALF096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Etiennette Lefler
• Joseph Lefler
• Lefo
• Legacy Estates Management, LP
• Legacy Terrace II, LP
• Chloe Marie Legel
• Kelly Legge
• Daniel Leggiadro, PH.D.
• Matthew Joseph Leggiadro
• Cynthia K Legrande

• Assisted Living Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.