LEGACY HEALTHCARE (NPI# 1629407036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629407036 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
106 Mount Vista Rd Denton NC 27239-8793 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 3368590773 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | ANGELA GRANT (GENERAL COUNSEL & VP OF HUMAN RES.) |
| Authorized Official Telephone | 19194245086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1089 | 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 |
| 1578769634 | Legacy Healthcare | Skilled Nursing Facility | 9601 Gallop Ln, Bahama, NC 27503-9633 | 2007-06-26 |
| 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 |
| 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 |
| Oklahoma Business Registrations | LEGACY HEALTHCARE, LLC | 1723 S. Morgan Rd, Oklahoma City, OK 73128 |
| Street Address |
106 MOUNT VISTA RD |
| City | DENTON |
| State | NC |
| Zip Code | 27239-8793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518226620 | Mark Alan Hardin | Physical Therapy Assistant | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2012-05-09 |
| 1326561325 | Emily James | Occupational Therapy Assistant | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2017-07-21 |
| 1780033738 | Rebecca Combs | Specialist | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2016-06-10 |
| 1144602418 | Kevin Dorman | Speech-Language Pathologist | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2015-06-23 |
| 1538555644 | Jamie Smith | Occupational Therapy Assistant | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2015-04-15 |
| 1043609548 | Kristen Peschock | Physical Therapist | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2015-01-21 |
| 1093121568 | Cheri Hurst | Occupational Therapy Assistant | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2014-07-06 |
| 1093139826 | Noreen Sales Cunanan | Physical Therapist | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2014-02-13 |
| 1730434549 | Wendy Sutts Mcleod | Speech-Language Pathologist | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545213 | Allison Rebecca Nance | Physical Therapy Assistant | 106 Mt Vista Health Park Road, Denton, NC 27239 | 2019-02-21 |
| 1881989036 | Supportive Care Solutions, LLC | Case Management | 56 West Salisbury St, Denton, NC 27239 | 2011-06-16 |
| 1982801270 | Jeanne Shore | Speech-Language Pathologist | 106 Moutnain Vista Rd, Denton, NC 27239 | 2007-06-29 |
| 1083818041 | Gloria Brooks Tolliver | Physical Therapist | 1547 Mountain Vista Road, Denton, NC 27239 | 2007-06-13 |
| 1629135744 | Florita Castor Mangundayao | Family Medicine | 292 South Main Street, Denton, NC 27239 | 2007-01-02 |
| 1104997147 | Felizardo Hocbo Mangundayao | Family Medicine | 292 South Main St., Denton, NC 27239 | 2006-11-13 |
| 1427166149 | Barrett and Tanner Inc | Durable Medical Equipment & Medical Supplies | 17941 S. Hwy 109, Denton, NC 27239 | 2006-08-25 |
| 1972510071 | Yadkin Valley Health Care LLC | Pharmacy | 17955 Nc Hwy 109 S, Denton, NC 27239 | 2006-08-02 |
| 1619904786 | Terry Odell Bowman | Dentist | 49 Anderson St, Denton, NC 27239 | 2006-06-26 |
| 1295903664 | Tony M Cranford | Optometrist | 208 South Main St, Denton, NC 27239 | 2008-02-19 |
| Find all providers in zip 27239 | ||||
| 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 |
|---|---|---|---|---|
| 1396754875 | Mountain Vista Health Park, Inc. | Skilled Nursing Facility | 106 Mt Vista Rd, Denton, NC 27239-8793 | 2006-08-05 |
| 1093702599 | Cottonwood Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2005-09-30 |
| 1821080805 | Caroline Nursing Home, Inc | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2005-08-17 |
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1588668834 | Senior Care Services, Inc | Skilled Nursing Facility | 2244 Brinker Rd, Denton, TX 76208-6120 | 2005-06-01 |
| 1194728220 | Dallas County Hospital District | Skilled Nursing Facility | 2229 N Carroll Blvd, Denton, TX 76201-1833 | 2005-05-23 |
| 1588263750 | Denton I Enterprises, LLC | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2020-10-20 |
| 1932757911 | Axis Health At Caroline Opco LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2019-09-03 |
| 1326513854 | Denton Operator, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2018-10-11 |
| 1396286811 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-03-16 |
| Find all providers in DENTON | ||||
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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.