NPIMap

Organization Active NPI

Legacy Healthcare Services, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Greenville, NC
National Provider Identifier
1922429422
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1421 Issued in NC
Legal business name
LEGACY HEALTHCARE SERVICES, INC.
Practice address
1748 Kinsaul Willoughby Rd
Greenville, NC 27834-7157
Phone
(252) 864-3532
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Angela Grant
Title
General Counsel
Phone
(919) 424-5086

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1421 NC
Community/Behavioral Health Agency 251S00000X 1421 NC
Nursing Facility/Intermediate Care Facility 313M00000X 1421 NC Primary

Addresses

Primary practice location

1748 Kinsaul Willoughby Rd
Greenville, NC 27834-7157

Mailing address

1748 Kinsaul Willoughby Rd
Greenville, NC 27834-7157
Phone (252) 864-3532

National Provider Directory

National Provider Directory
Tax ID family
Legacy61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1922429422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 KINSAUL WILLOUGHBY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347157",
            "telephone_number": "252-864-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 KINSAUL WILLOUGHBY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347157",
            "telephone_number": "252-864-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "919-424-5086"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "1421",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1421",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.