Legacy Healthcare Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5480 Issued in NC

Legal business name

LEGACY HEALTHCARE SERVICES

Practice address

28 Lincoln St
Hudson Falls, NY 12839-2431

Phone

(518) 320-5715

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian Bradley Funk, PTA

Title

Physical Therapist Assistant

Phone

(518) 320-5715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1922496926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LINCOLN ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392431",
            "telephone_number": "518-320-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LINCOLN ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392431",
            "telephone_number": "518-320-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "518-320-5715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "5480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kelly Laferriere, LPN
• Daria Ann Laursen, ARNP
• John Patrick Lawrence, D.D.S.
• Barbara Ann Lebrun
• Rebecca Lynn Leclaire, RN
• Jordan Elizabeth Lichtenberger
• Emily Nicole Lockhart, R.N.
• Joanne Loftus, MFT
• Berta Lowenstein, LCSW-R
• Maria C Luciani, LMSW

• Assisted Living Facility in Hudson Falls, NY
• Providers in Hudson Falls, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.