Active NPI
Legacy Care LLC
- Family Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- 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
- Desi-Rae Hall
- Title
- Delegated Official
- Phone
- (757) 251-9419
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | VA | Primary | |
| Nurse Practitioner | 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, DC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200
5457 Twin Knolls Rd
Ste 100
Columbia, MD 21045
Phone (410) 689-7400
100 Sunset Dr
Youngsville, NC 27596
Phone (919) 562-5550
2400 McKinney Blvd
Ste 100
Colonial Beach, VA 22443
1575 Scott Dr
Ste 5
Farmville, VA 23901
1575 Scott Dr
#5
Farmville, VA 23901
730 Lunenburg Dr
Keysville, VA 23947
Phone (434) 736-8406
1902 Grace St
Lynchburg, VA 24504
Phone (434) 200-5100
6039 Mechanicsville Tpke
Mechanicsville, VA 23111
1120 Huguenot Rd
Midlothian, VA 23113
7231 Forest Ave
Ste 200
Richmond, VA 23226
Phone (804) 379-3835
2001 Lauderdale Dr
Richmond, VA 23238
Phone (804) 750-2183
2400 E Parham Rd
Richmond, VA 23228
Phone (804) 264-9185
4795 Bethlehem Rd
Ste G
Richmond, VA 23230
Phone (804) 467-1628
355 William Mills Dr
Stanardsville, VA 22973
Phone (434) 985-4434
123 S Lynnhaven Rd
Virginia Beach, VA 23452
2900 Sabre St
Ste 300
Virginia Beach, VA 23452
Phone (757) 222-0300
2133 Upton Dr
Ste 126
Virginia Beach, VA 23454
2900 Sabre St
Virginia Beach, VA 23452
3900 Windsor Hall Dr
#R
Williamsburg, VA 23188
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Chester, VA
- NPI 1396520318
-
- Geriatric Medicine (Internal Medicine) Physician
- Virginia Beach, VA
- NPI 1184696148
VA
-
- Nurse Practitioner
- Midlothian, VA
- NPI 1447638325
-
- Women's Health Nurse Practitioner
- Mechanicsville, VA
- NPI 1235320854
VA
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.