Legacy

LBN: Legacy
Legacy is an health care organization with primary practice located at 3001 Spring Forest Rd , Raleigh NC 27616-2815. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Legacy can be contacted via phone (919) 424-5086, or through Hummer-Wheeler, Bonnie Faye via phone (910) 964-4764.

Contact Information

Primary practice address
3001 Spring Forest Rd Raleigh NC 27616-2815
Phone: (919) 424-5086
Fax: (919) 424-5085
Website:
Map and Directions
Authorized official contact:
Name: Hummer-Wheeler, Bonnie Faye Certified Occupational Therapy Assistant (COTA)
Phone: (910) 964-4764

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 5760 North Carolina

Profile Details

NPI number 1992115406
LBN Legal business name Legacy
DBA Doing business as
Authorized official Hummer-Wheeler, Bonnie Faye Certified Occupational Therapy Assistant (COTA)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2014
Last updated May 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992115406 NPPES
North Carolina MEDICAID 25000000

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