LEGACY HEALTHCARE (NPI# 1578769634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578769634 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
9601 Gallop Ln Bahama NC 27503-9633 |
| Practice Telephone | 9194776485 |
| Mailing Telephone | 9194776485 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUSAN WHITE (OT) |
| Authorized Official Telephone | 9194776485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2542 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688266 | Legacy Healthcare | Assisted Living Facility | 300 Billingrath Turn Ln, Cary, NC 27519-2838 | 2017-02-12 |
| 1912496985 | Legacy Healthcare | Nurse Practitioner | 1918 Santa Anna Dr, Arlington, TX 76001-5611 | 2018-05-05 |
| 1184179004 | Legacy Healthcare | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2016-08-20 |
| 1568863892 | Legacy Healthcare | Assisted Living Facility | 363 Jungermann Rd, 261, Saint Peters, MO 63376-5371 | 2014-09-05 |
| 1376962621 | Legacy Healthcare | Residential Treatment Facility, Physical Disabilities | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-04-15 |
| 1629407036 | Legacy Healthcare | Skilled Nursing Facility | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2013-11-06 |
| 1104113026 | Legacy Healthcare | Assisted Living Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2011-06-29 |
| 1497051049 | Legacy Healthcare | Clinic/Center | 200 Trade St, Tarboro, NC 27886-5055 | 2011-01-30 |
| 1245543347 | Legacy Healthcare | Skilled Nursing Facility | 725 S Pine St, Sebring, FL 33870-3654 | 2010-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY HEALTHCARE (SWITZERLAND) SA | Route De La Corniche 3 B, Epalinges, VD 1066, CHE |
| Colorado Business Entities | Legacy Healthcare Consulting LLC | N74w23774 Overland Ct, Sussex, WI 80831 |
| New York State Corporations | LEGACY HEALTHCARE MANAGEMENT GROUP, LLC | 6 Chelsea Place, Clifton Park, Ny 12065 |
| 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 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Oklahoma Business Registrations | LEGACY HEALTHCARE, LLC | 1723 S. Morgan Rd, Oklahoma City, OK 73128 |
| Street Address |
9601 GALLOP LN |
| City | BAHAMA |
| State | NC |
| Zip Code | 27503-9633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697390 | Susan White | Occupational Therapist | 9601 Gallop Ln, Bahama, NC 27503-9633 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578037909 | Innovative Ot Solutions, Inc | Occupational Therapist | 9601 Gallop Lane, Bahama, NC 27503 | 2019-01-18 |
| 1932419421 | Medcare Hospitality, Inc. | Transportation Broker | 10910 S Lowell Rd, Bahama, NC 27503-8799 | 2010-10-18 |
| 1750575767 | Emily D. Wilkie | Speech-Language Pathologist | 7202 Altdorf Dr, Bahama, NC 27503-8803 | 2007-09-03 |
| 1104028075 | Jennifer Eve Bachman | Specialist | 8501 Doughton Dr, Bahama, NC 27503-8992 | 2007-06-04 |
| 1780639278 | Julia B Johnston | Social Worker | 1203 Bahama Rd, Bahama, NC 27503-9017 | 2006-05-23 |
| 1689177339 | Rebecca Joan Hurst | Psychologist | 1403 Bahama Rd, Bahama, NC 27503-9021 | 2018-03-08 |
| 1922374560 | Jennifer Niles | Counselor | 908 Orange Factory Rd, Bahama, NC 27503-9182 | 2012-03-28 |
| 1316057482 | Katherine M Kaplan | Obstetrics & Gynecology | 8516 Johnson Mill Rd, Bahama, NC 27503-9239 | 2006-08-30 |
| 1629127410 | Melissa Flintom | Speech-Language Pathologist | 9008 Bahama Woods Ln, Bahama, NC 27503-9500 | 2007-01-09 |
| 1144618778 | Darnella Warthen | Counselor | 406 Mare Ct, Bahama, NC 27503-9615 | 2015-01-06 |
| Find all providers in zip 27503 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "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. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
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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.