Organization Active NPI

Legendary Health & Human Services

  • Voluntary or Charitable Agency
  • Jamestown, ND
National Provider Identifier
1891674966
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LEGENDARY HEALTH & HUMAN SERVICES
Practice address
715 10TH St NE Apt 304
Jamestown, ND 58401-3470
Phone
(215) 485-2276
NPI assigned
Sep 2, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ernest Galison Gibson, MBA
Title
Ceo
Phone
(215) 485-2276

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Voluntary or Charitable Agency 251V00000X NU Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

715 10TH St NE Apt 304
Jamestown, ND 58401-3470

Mailing address

715 10TH St NE Apt 304
Jamestown, ND 58401-3470
Phone (215) 485-2276

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1891674966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 10TH ST NE APT 304",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013470",
            "telephone_number": "215-485-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 10TH ST NE APT 304",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013470",
            "telephone_number": "215-485-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GALISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-485-2276",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.