Organization Active NPI

Legacy Care LLC

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1902149776
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEGACY CARE LLC
Practice address
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone
(757) 536-2246
NPI assigned
Mar 30, 2013
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Desi-Rae Hall
Title
Delegated Official
Phone
(757) 251-9419

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X VA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X VA

Addresses

Primary practice location

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Mailing address

PO Box 645986
Pittsburgh, PA 15264-5257

Other practice location 1

1840 Reisterstown Rd
Pikesville, MD 21208-1305
Phone (833) 815-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130529000542 VA Part B Supplier - Clinic/Group Practice 0042458200 Receives reassigned benefits from 61 practitioners
Practice locations: Virginia Beach, VA
O20171116001376 MD Part B Supplier - Clinic/Group Practice 0042458200 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD
O20180806002000 DC Part B Supplier - Clinic/Group Practice 0042458200 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations (25 of 28)

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

7106 Ridge Rd
Ste 700
Rosedale, MD 21237

3609 Bond St
Raleigh, NC 27604
Phone (919) 231-8113

9181 Medcom St
North Charleston, SC 29406
Phone (843) 820-7767

2600 Barracks Rd
Charlottesville, VA 22901
Phone (434) 963-4160

490 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 951-4200

12001 Iron Bridge Rd
Chester, VA 23831
Phone (804) 413-6508

2400 McKinney Blvd
Ste 100
Colonial Beach, VA 22443

1575 Scott Dr
#5
Farmville, VA 23901

1575 Scott Dr
Ste 5
Farmville, VA 23901

6039 Mechanicsville Tpke
Mechanicsville, VA 23111

1120 Huguenot Rd
Midlothian, VA 23113

14001 Turnberry Ln
Midlothian, VA 23113
Phone (804) 897-2727

14016 Turnberry Ln
Midlothian, VA 23113
Phone (804) 840-3291

11300 Mall Ct
North Chesterfield, VA 23235
Phone (804) 794-7770

550 Flank Rd
Petersburg, VA 23805
Phone (804) 571-1231

4795 Bethlehem Rd
Ste G
Richmond, VA 23230
Phone (804) 467-1628

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

7231 Forest Ave
Ste 200
Richmond, VA 23226
Phone (804) 379-3835

6860 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 925-8597

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

123 S Lynnhaven Rd
Virginia Beach, VA 23452

2133 Upton Dr
Ste 126
Virginia Beach, VA 23454

2900 Sabre St
Virginia Beach, VA 23452

2900 Sabre St
Ste 300
Virginia Beach, VA 23452
Phone (757) 222-0300

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1902149776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645986",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527332",
            "telephone_number": "757-536-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Reisterstown Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212081305",
            "country_code": "US",
            "telephone_number": "833-815-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DESI-RAE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "757-251-9419"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.