Legends Recovery Center of Ohio LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LEGENDS RECOVERY CENTER OF OHIO LLC

Practice address

430 N Broadway St
Green Springs, OH 44836-9734

Phone

(844) 534-3638

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Eva I Dudek, BS,MHA,CAP

Title

Chief Compliance/Project Manager

Phone

(561) 301-9423

Specialties & licenses 1

Addresses

Tax ID family

Legends Recovery Center of Ohio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Legends Recovery Center of Ohio LLC

  • Community/Behavioral Health Agency
  • Green Springs, OH
  • NPI 1740079243
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sierra Ann Brown, LPN

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Green Springs, OH
  • NPI 1689511966
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1942939764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN AVE STE 121",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141757",
            "telephone_number": "844-534-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369734",
            "telephone_number": "844-534-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDS RECOVERY CENTER OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "DUDEK",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE/PROJECT MANAGER",
        "authorized_official_telephone_number": "561-301-9423",
        "authorized_official_credential": "BS,MHA,CAP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Hair Design LLC
• Alyssa Lane, RN
• Darryl Keith Lanier Jr.
• Denise Marie Lawson, NP
• Legends Recovery Center of Ohio LLC
• Kandyce Ariel Lester
• Kaila Brianna Lindsay, LPN
• Samantha Magers, RN
• Anna Matney
• Brandon Dane McCroskey

• Substance Abuse Rehabilitation Facility in Green Springs, OH
• Providers in Green Springs, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.