Legacy Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LEGACY CARE LLC

Practice address

6108 SE Clatsop St
Portland, OR 97206-0708

Phone

(202) 352-4712

NPI assigned

May 28, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Bewuqetu Abebe MekuriyaNPI 1225925738

Title

Director

Phone

(202) 352-4712

Specialties & licenses 1

Addresses

Other names 1

• Legacy Care Doing business as

Practitioners 1

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

• Bewuqetu Abebe Mekuriya, RN

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1225925738
  NPD Authorized official

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1952194342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 SE CLATSOP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972060708",
            "telephone_number": "202-352-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 SE CLATSOP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972060708",
            "telephone_number": "202-352-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MEKURIYA",
        "authorized_official_first_name": "BEWUQETU",
        "authorized_official_middle_name": "ABEBE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-352-4712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin John Leffler, QMHP-C
• Noelle Shipman Lefitz, CNM
• Anthony Todd Lefkowicz, MS, MOT
• Kathy Louise Lefor, LPC
• Michael John Lefor, MD
• Legacy Clinics LLC
• Legacy Emanuel Hospital & Health Center
• Legacy Emanuel Hospital & Health Center
• Legacy Emanuel Hospital & Health Center
• Legacy Emanuel Hospital & Health Center

• All providers in Portland, OR
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.