Legacy Residential Program
LBN: Legacy Residential Program
Legacy Residential Program is an health care organization with primary practice located at 2156 N 30Th St , Philadelphia PA 19121-1101. The organization recently has 8 registered licenses in different health care specialties including Agencies / Case Management, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Case Management is the primary health care specialty.
Legacy Residential Program can be contacted via phone (267) 315-5124, or through Edwards, Ashley via phone (215) 397-7823.
Contact Information
Primary practice address
2156 N 30Th St
Philadelphia PA 19121-1101
Phone: (267) 315-5124
Fax: (267) 324-3106
Website:
Health care specialties
Profile Details
| NPI number | 1003506171 |
|---|---|
| LBN Legal business name | Legacy Residential Program |
| DBA Doing business as | |
| Authorized official | Edwards, Ashley Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2023 |
| Last updated | May 11th, 2023 - about last year |
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 | 1003506171 | NPPES |
| Delaware | MEDICAID | 1366151854 | |
| Delaware | MEDICAID | 1386342533 |
Popular Providers
-
Northeast Community Center For Mental Health & Mental Retardation
4641 Roosevelt Blvd , Philadelphia PA 19124-2343 -
Mental Health Partnerships
4950 Parkside Ave Floor 2, Philadelphia PA 19131 -
Right Foundation
445 Fairmount Ave 1 St Floor, Philadelphia PA 19123-2822 -
Path (People Acting To Help), Inc
8220 Castor Ave , Philadelphia PA 19152-2729 -
Citizen'S Acting Together Can Help, Inc.
1400 Reed St , Philadelphia PA 19146-4823 -
Philadelphia Clppp
2100 W Girard Ave Bldg. #3, Philadelphia PA 19130-1400 -
Intercommunity Action, Inc.
6122 Ridge Ave , Philadelphia PA 19128-1603 -
Resources For Human Development, Inc.
5201 Old York Rd Suite 103, Philadelphia PA 19141-2985