LEGACY HEALTHCARE SERVICES, INC. (NPI# 1457768335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457768335 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC. |
| Practice Address |
7900 Creedmoor Rd Raleigh NC 27613-4382 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 9196514882 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |
| Authorized Official Name | ANGELA GRANT (VP HUMAN RESOURCES) |
| Authorized Official Telephone | 9194245086 |
| Authorized Official Credential | GENERAL COUNSEL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
A4436 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151811 | Legacy Healthcare Services, Inc. | Occupational Therapist | 13716 New Hampshire Ave, Silver Spring, MD 20904-6215 | 2020-07-21 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1730636846 | Legacy Healthcare Services, Inc. | Occupational Therapist | 10665 W 13th St N, Wichita, KS 67212-5600 | 2016-09-07 |
| 1528419751 | Legacy Healthcare Services, Inc. | Physical Therapist | 100 Washington Commons Dr, Apt. 314, Evans, GA 30809-3159 | 2016-06-29 |
| 1689074288 | Legacy Healthcare Services, Inc. | Occupational Therapist | 55 Piney Mountain Dr, Asheville, NC 28805-1297 | 2014-09-02 |
| 1376953794 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2201 S Lemay Ave, Fort Collins, CO 80525-1900 | 2014-05-07 |
| 1922429422 | Legacy Healthcare Services, Inc. | Home Health | 1748 Kinsaul Willoughby Rd, Greenville, NC 27834-7157 | 2013-12-31 |
| 1780943381 | Legacy Healthcare Services, Inc. | Physical Therapist | 1180 Haywood Rd, Greenville, SC 29615-2286 | 2012-05-16 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| 1518069913 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2006-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
7900 CREEDMOOR RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548651987 | Jammie Lynn Roberts | Occupational Therapy Assistant | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2015-02-06 |
| 1376940759 | Nicole Hunn | Occupational Therapist | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| 1447733878 | Swarajchand Corp | Clinic/Center | 8320 Litchford Rd Ste 140, Raleigh, NC 27615-3860 | 2018-09-12 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1073069035 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 8700 Walkelin Ct, Raleigh, NC 27615-4147 | 2016-08-30 |
| 1659731214 | Agilitas Usa, Inc | Clinic/Center | 815 Oberlin Rd # 302, Raleigh, NC 27605-1300 | 2016-02-25 |
| 1336508688 | Optimum Mobile Rehabilitation L.L.C. | Clinic/Center | 150 Saint Mellion St, Raleigh, NC 27603-4175 | 2016-02-15 |
| 1437524600 | Agilitas Usa Inc | Clinic/Center | 11201 Galleria Ave # 105, Raleigh, NC 27614-8137 | 2015-12-14 |
| 1235528985 | Xcel Rehabilitation Services | Clinic/Center | 12528 Honeychurch St, Raleigh, NC 27614-8482 | 2015-01-19 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| 1912190174 | S.t.a.c.k. Physical Therapy & Corrective Exercise, Incorporated | Clinic/Center | 1640 Eva Mae Dr, Raleigh, NC 27610-4443 | 2007-08-21 |
| Find all providers in RALEIGH | ||||
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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.