Active NPI
Legendary Health & Human Services
- Voluntary or Charitable Agency
- Jamestown, ND
National Provider Identifier
1891674966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.