LEGACY (NPI# 1306284674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306284674 |
| Entity Type | Organization |
| Organization Name | LEGACY |
| Practice Address |
903 W Main Street Yadkinville NC 27055 |
| Mailing Address |
1222 Nc Highway 801 N Advance NC 27006-6757 |
| Practice Telephone | 3366771345 |
| Mailing Telephone | 8287292457 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | MRS. JESSICA LINDSEY BELL (OTA) |
| Authorized Official Telephone | 8287292457 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 4645 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621607 | Legacy | Clinic/Center | 120 South Hi Lusi Ave, Mount Prospect, IL 60056 | 2010-10-18 |
| 1992115406 | Legacy | Nursing Facility/Intermediate Care Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-05-06 |
| 1831539824 | Legacy | Skilled Nursing Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2013-07-05 |
| 1730334640 | Legacy | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2008-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY | 1415 California Street, Houston, TX 77006-2602 |
| Colorado Business Entities | LEGACY & INTEGRITY LIMITED | 7879 Elmwood Ln, Denver, CO 80221 |
| New York State Corporations | LEGACY & LEGEND HOLDINGS, LLC | 8080 Barnum Road, Cassadaga, Ny 14718 |
| Virginia Business Entities | LEGACY & TRUST LEGAL COUNSEL PLLC | 7506 Digby Gr, Alexandria, Virginia 22315 |
| Washington State Corporations | LEGACY 04 L.L.C. | 1111 Main St, Vancouver, WA 98666 |
| New York State Corporations | LEGACY 0910 INC | 46 West 65th Street, Suite 1a, New York, Ny 10023 |
| New York State Corporations | LEGACY 1 CONDOMINIUM CORP. | 132-52 91st Avenue Mi, Flushing, Ny 11355 |
| Colorado Business Entities | LEGACY 1 DOING BUSINESS AS S.R.S, INC | 4113 Jebel St, Denver, CO 80249 |
| New York State Corporations | LEGACY 1 LIMO SERVICE & CAR INC. | 308 E5th Street, Brooklyn, New York 11218 |
| Colorado Business Entities | Legacy 1 LLC | 27090 Highway 72, Golden, CO 80403-8329 |
| Street Address |
903 W MAIN STREET |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| 1841214913 | Barbara J. Reece | Registered Nurse | 524 E. Main St., Yadkinville, NC 27055 | 2006-07-26 |
| Find all providers in zip 27055 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
| 1184974396 | Sci - Burke Icf/mr Group Home | Nursing Facility/Intermediate Care Facility | 101 Stephens Dr, Morganton, NC 28655-2937 | 2012-09-14 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.