Active NPI
Legacy Professional Services
- Community/Behavioral Health Agency
- Sanford, NC
National Provider Identifier
1942677992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LEGACY PROFESSIONAL SERVICES
- Practice address
- 151 S Horner Blvd
Sanford, NC 27330-4216 - Phone
- (919) 895-9212
- NPI assigned
- Aug 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jocylann Murrill Cooke
- Title
- Executive Director
- Phone
- (919) 895-9212
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| PACE Provider Organization | 251T00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
151 S Horner Blvd
Sanford, NC 27330-4216
Mailing address
PO Box 501
Sanford, NC 27331-0501
National Provider Directory
National Provider DirectoryLocations
151 S Horner Blvd
Sanford, NC 27330
Phone (919) 895-9212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1942677992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501",
"city": "SANFORD",
"state": "NC",
"postal_code": "273310501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304216",
"telephone_number": "919-895-9212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY PROFESSIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "COOKE",
"authorized_official_first_name": "JOCYLANN",
"authorized_official_middle_name": "MURRILL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-895-9212"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.