Legacy Life Care Programs-Brentwood
LBN: Legacy Life Care Programs
Legacy Life Care Programs-Brentwood is an health care organization with primary practice located at 1661 Mallory Ln , Brentwood TN 37027-7931. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / In Home Supportive Care. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Legacy Life Care Programs can be contacted via phone (931) 626-1644, or through Smith, Linda R via phone (931) 215-2182.
Contact Information
Primary practice address
1661 Mallory Ln
Brentwood TN 37027-7931
Phone: (931) 626-1644
Fax: (931) 381-5363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1000000011378 | Tennessee |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC00000003314 | Tennessee |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1000000018345 | Tennessee |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1000000011378 | Tennessee |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1000000011378 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1000000011378 | Tennessee |
| Agencies / Community/Behavioral Health | 251S00000X | 1000000011378 | Tennessee |
| Agencies / Voluntary or Charitable | 251V00000X | 1000000018345 | Tennessee |
| Agencies / In Home Supportive Care | 253Z00000X | 1000000011378 | Tennessee |
Profile Details
| NPI number | 1962746842 |
|---|---|
| LBN Legal business name | Legacy Life Care Programs |
| DBA Doing business as | Legacy Life Care Programs-Brentwood |
| Authorized official | Smith, Linda R N.H.A. M.P.S./IMFT |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Jul 14th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962746842 | NPPES |
| Tennessee | MEDICAID | H445654 | |
| Tennessee | MEDICAID | Q010864 | |
| Tennessee | Other | 1962746842 | |
| Tennessee | MEDICAID | 1437420742 | |
| Tennessee | Other | NPI 1265768428 | |
| Tennessee | Other | 1225450802 | |
| Tennessee | Other | 1669548608 | |
| Tennessee | MEDICAID | Q006613 |
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