LEGACY HEALTHCARE SERVICES (NPI# 1629301130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629301130 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES |
| Practice Address |
1315 Greensboro Rd High Point NC 27260-2611 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 1336821692 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MRS. MANAL ALAN FAKHOURY (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 9193061847 |
| Authorized Official Credential | M.A., CFY-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| 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 |
| 1265749535 | Legacy Healthcare Services | Health Maintenance Organization | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-09-08 |
| 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 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Street Address |
1315 GREENSBORO RD |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27260-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477641694 | Maryfield, Inc. | Skilled Nursing Facility | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2006-10-11 |
| 1124521893 | Kate Rollins Clodfelter | Occupational Therapist | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2018-03-08 |
| 1740721927 | Rachel Conner | Physical Therapist | 1315 Greensboro Rd, High Point, NC 27260 | 2017-03-20 |
| 1285034017 | Brandon Bryant | Physical Therapy Assistant | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2014-08-29 |
| 1821437583 | Dawnene Bucher | Physical Therapy Assistant | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2013-06-17 |
| 1063721058 | Sonal Shah Mather | Speech-Language Pathologist | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2010-09-24 |
| 1669648424 | Martha Hoskins | Physical Therapist | 1315 Greensboro Rd, High Point, NC 27260 | 2008-05-01 |
| 1275707903 | Robert Hugh Whittington | Physical Therapy Assistant | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2008-04-14 |
| 1366615171 | Patricia M. Kanaga | Occupational Therapy Assistant | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2008-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291559 | Family Primary Care Pllc | Family Medicine | 200 Greensboro Rd, High Point, NC 27260 | 2017-08-22 |
| 1104102854 | Latoya Natasha Seward | Registered Nurse | 501 East Green Drive, High Point, NC 27260 | 2011-10-26 |
| 1053610170 | Anjanette Miles Thompson | Registered Nurse | 501 E Green Street, High Point, NC 27260 | 2011-03-16 |
| 1043477862 | Adrienne Ellison | Speech-Language Pathologist | 1315 Old Greensboro Rd, High Point, NC 27260 | 2008-05-20 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1710100078 | Power & Praise Tabernacle | Custodial Care Facility | 807 Vail Ave, High Point, NC 27260 | 2007-04-11 |
| 1356484075 | Judd Andrew Caudell | Physician Assistant | 501 East Greene Street, Guilford County Health Department, High Point, NC 27260 | 2007-02-14 |
| 1598775751 | Piedmont Triad Ambulance & Rescue Inc | Ambulance | 901 S Elm St, High Point, NC 27260 | 2006-08-09 |
| 1467911982 | Elizabeth Quiroz | Registered Nurse | 501 E Greene Dr, High Point, NC 27260 | 2019-03-14 |
| 1518497403 | Dominique Leeann Hickman | Social Worker | 501 E Green Dr, High Point, NC 27260 | 2017-06-14 |
| Find all providers in zip 27260 | ||||
| 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 |
|---|---|---|---|---|
| 1548407208 | Cassandra R Santiago | Skilled Nursing Facility | 3602 Laurel Bluff Cir, High Point, NC 27265-9397 | 2009-01-15 |
| 1477641694 | Maryfield, Inc. | Skilled Nursing Facility | 1315 Greensboro Rd, High Point, NC 27260-2611 | 2006-10-11 |
| 1144277666 | Pruitthealth - High Point, LLC | Skilled Nursing Facility | 3830 N Main St, High Point, NC 27265-1126 | 2006-05-29 |
| 1952354565 | Sunbridge Regency - North Carolina, Inc. | Skilled Nursing Facility | 707 N Elm St, High Point, NC 27262-3917 | 2006-05-18 |
| 1922066612 | Pprc Nursing Home, Inc | Skilled Nursing Facility | 1795 Westchester Dr, High Point, NC 27262-7008 | 2006-05-02 |
| 1912966698 | Evergreens, Inc. | Skilled Nursing Facility | 206 Greensboro Rd, High Point, NC 27260-3456 | 2006-03-21 |
| 1568463974 | Presbyterian Homes Inc | Skilled Nursing Facility | 201 Greensboro Rd, High Point, NC 27260-3482 | 2005-08-09 |
| 1043314602 | Pprc Nursing Home Inc. | Skilled Nursing Facility | 1795 Westchester Dr, High Point, NC 27262-7008 | 2006-09-12 |
| 1871594481 | High Point Regional Health System | Skilled Nursing Facility | 601 N Elm St, High Point, NC 27262-4331 | 2005-08-04 |
| 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 | ||||
| City | HIGH POINT |
| Zip Code | 27260 |
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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.