Organization Active NPI

Legacy Health Centers Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1902278237
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY HEALTH CENTERS INC
Practice address
730 N Eastern Ave Ste 120
Las Vegas, NV 89101-2885
Phone
(702) 994-3635
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Edgar Sotelo-Zarate
Title
Director
Phone
(702) 994-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

730 N Eastern Ave Ste 120
Las Vegas, NV 89101-2885

Mailing address

6512 N Decatur Blvd Ste 130-114
Las Vegas, NV 89131-1046
Phone (702) 994-3635

National Provider Directory

National Provider Directory

Locations

730 N Eastern Ave
Ste 120
Las Vegas, NV 89101
Phone (702) 772-4864

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1902278237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 N DECATUR BLVD STE 130-114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311046",
            "telephone_number": "702-994-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "702-994-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "SOTELO-ZARATE",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-994-3635"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.