Legacy Alliance Outreach

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LEGACY ALLIANCE OUTREACH

Practice address

820 H St
Modesto, CA 95354-3419

Phone

(209) 480-6199

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Alexander Bequette

Title

Director

Phone

(209) 480-6199

Specialties & licenses 1

Addresses

Tax ID family

Legacy Alliance Outreach3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Alliance Outreach

  • Peer Specialist
  • Modesto, CA
  • NPI 1619708229
  NPD tax ID
• Legacy Alliance Outreach

  • Lodging Provider
  • Modesto, CA
  • NPI 1750102612
  NPD tax ID

Locations

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1912728874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OAKDALE RD STE 154",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552256",
            "telephone_number": "209-480-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 H ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543419",
            "telephone_number": "209-480-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ALLIANCE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BEQUETTE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-480-6199"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Leensvaart III
• Robert E. Lefevre, MD
• Allison Lefler
• Legacy Alliance Outreach
• Legacy Alliance Outreach
• Caitlyn Legan
• Anastasia Legatos
• Kimberly June Legh-Page, PHD
• Mallory Leguria
• Cordia A Lehn

• Case Manager/Care Coordinator in Modesto, CA
• Providers in Modesto, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.