Legacy Human Services, Inc.

LBN: Legacy Human Services, Inc.
Legacy Human Services, Inc. is an health care organization with primary practice located at 605 N Country Club Dr Oxford Group Home, Oxford NC 27565-2848. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Legacy Human Services, Inc. can be contacted via phone (919) 693-1694, or through Johnson, Jacinta via phone (252) 438-6700.

Contact Information

Primary practice address
605 N Country Club Dr Oxford Group Home Oxford NC 27565-2848
Phone: (919) 693-1694
Fax: (252) 438-6720
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jacinta
Phone: (252) 438-6700

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL- 039 -029 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-039-029 North Carolina

Profile Details

NPI number 1922277706
LBN Legal business name Legacy Human Services, Inc.
DBA Doing business as
Authorized official Johnson, Jacinta
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Sep 10th, 2021 - about 3 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 1922277706 NPPES
North Carolina MEDICAID 7805488

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