Organization Active NPI

Legacy Treatment Services

  • Community/Behavioral Health Agency
  • Wilmington, DE
National Provider Identifier
1922557727
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY TREATMENT SERVICES
Practice address
5602 Kirkwood Highway
Wilmington, DE 19808
Phone
(609) 288-3126
Fax
(609) 265-1895
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Melinda Ota
Title
Acting Cfo
Phone
(609) 267-5656

Specialties & licenses 1

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

Addresses

Primary practice location

5602 Kirkwood Highway
Wilmington, DE 19808

Mailing address

1289 Route 38 West
Suite #203
Hainesport, NJ 08036-2720
Phone (609) 288-3126

National Provider Directory

National Provider Directory
Tax ID family
Union Association of the Children'S Home116 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

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

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1922557727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38 WEST",
            "address_2": "SUITE #203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362720",
            "telephone_number": "609-288-3126",
            "fax_number": "609-265-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 KIRKWOOD HIGHWAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "609-288-3126",
            "fax_number": "609-265-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ACTING CFO",
        "authorized_official_telephone_number": "609-267-5656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.