LEGACY HEALTHCARE SERVICES (NPI# 1265749535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265749535 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES |
| Practice Address |
5114 Providence Rd Charlotte NC 28226-5852 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 7043642485 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | ALISON STARKEY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7043642485 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 7364 | NC | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483738 | Legacy Healthcare Services | Assisted Living Facility | 5327 S Jellison St, Littleton, CO 80123-2185 | 2014-11-03 |
| 1215269485 | Legacy Healthcare Services | Home Health | 10135 Glengate Ln, Houston, TX 77036-8607 | 2010-02-12 |
| 1699131573 | Legacy Healthcare Services | Clinic/Center | 15822 Clayton Rd, Ellisville, MO 63011-2212 | 2016-01-08 |
| 1063806784 | Legacy Healthcare Services | Skilled Nursing Facility | 3100 Spring Forest Rd, Raleigh, NC 27616-2880 | 2015-03-19 |
| 1922496926 | Legacy Healthcare Services | Assisted Living Facility | 28 Lincoln St, Hudson Falls, NY 12839-2431 | 2014-12-30 |
| 1831523570 | Legacy Healthcare Services | Physical Therapy Assistant | 111 Harrilson Rd, Cherryville, NC 28021-9541 | 2013-08-29 |
| 1942647524 | Legacy Healthcare Services | Assisted Living Facility | 1950 S Dayton St, Denver, CO 80247-3452 | 2013-05-23 |
| 1043580129 | Legacy Healthcare Services | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-01-06 |
| 1003113499 | Legacy Healthcare Services | Clinic/Center | 750 Se Cary Pkwy, Cary, NC 27511-5682 | 2011-02-21 |
| 1912228735 | Legacy Healthcare Services | Clinic/Center | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | LEGACY HEALTHCARE SERVICES INC. | 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Legacy HealthCare Services Inc. | 3001 Spring Forest Rd, Raleigh, North Carolina 27616 |
| Connecticut Business Registrations | LEGACY HEALTHCARE SERVICES, INC. | 164 Wind Chime Court, Raleigh, NC 27615 |
| Iowa Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Rd., Raleigh, NC 27616 |
| Colorado Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Street Address |
5114 PROVIDENCE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447466297 | Cassandra Testa | Physical Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2007-05-15 |
| 1760947055 | Joseph Rodriguez | Physical Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2019-01-31 |
| 1396114344 | Michelle Florio Maitin | Speech-Language Pathologist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2015-09-21 |
| 1639411721 | Al One Investments LLC | Assisted Living Facility | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2013-03-27 |
| 1376807800 | Nicholas James Brand | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-06-29 |
| 1043580129 | Legacy Healthcare Services | Occupational Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2012-01-06 |
| 1942510490 | Angela Nichole Sawyer | Occupational Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-10-18 |
| 1487975686 | Patti Burris Deaton | Occupational Therapy Assistant | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-06-22 |
| 1912228735 | Legacy Healthcare Services | Clinic/Center | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-06-15 |
| 1730414608 | Tara Tennison Fitzgerald | Physical Therapist | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051631 | Jackson Home for Veterans | Health Maintenance Organization | 2633 Juniper Dr, Charlotte, NC 28269-4004 | 2020-10-20 |
| 1982071080 | Boe Healthcare Consulting | Health Maintenance Organization | 6162 Balsam Fir Dr, Charlotte, NC 28212-4502 | 2015-08-25 |
| 1538544424 | Changing Famlies & Lives | Health Maintenance Organization | 8517 Galena View Dr, Charlotte, NC 28269-7179 | 2015-07-21 |
| 1023404704 | Henry Albert Kelly Jr | Health Maintenance Organization | 4124 Firwood Ln Apt L, Charlotte, NC 28209-2724 | 2015-04-09 |
| 1457768988 | Life Flow Youth & Family Counseling | Health Maintenance Organization | 11300 Walland Ln, Charlotte, NC 28273-4596 | 2014-07-16 |
| 1629322292 | South East Mecklenburg County Health Department | Health Maintenance Organization | 429 Billingsley Road, Charlotte, NC 28211-1089 | 2012-11-05 |
| 1003048752 | Bradford L Picot, Dds, P.a. | Health Maintenance Organization | 1520 South Blvd, Suite 110, Charlotte, NC 28203-4786 | 2009-08-13 |
| 1730325796 | Ekr, LLC | Health Maintenance Organization | 9734 Ashburton Dr, Suite 101, Charlotte, NC 28216-2195 | 2008-12-22 |
| 1932256021 | Special K. Enrichment, Inc. | Health Maintenance Organization | 2838 A Queen City Drive, Charlotte, NC 28208-2738 | 2007-01-04 |
| 1861003774 | Troy Health Inc | Health Maintenance Organization | 615 S College St Fl 10, Charlotte, NC 28202-3355 | 2020-08-13 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.