LEGACY TREATMENT CENTER (NPI# 1730567033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567033 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT CENTER |
| Practice Address |
5401 New Centre Drive Suite 200 Wilmington NC 28403 |
| Mailing Address |
4944 Parkway Plaza Blvd Suite 300 Charlotte NC 28217-1972 |
| Practice Telephone | 9545605238 |
| Practice Fax Number | 8885109071 |
| Mailing Telephone | 9545605238 |
| Mailing Fax Number | 8885109071 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | DENISE MELENDEZ (BILLING DIRECTOR) |
| Authorized Official Telephone | 9545605238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758102 | Legacy Treatment Center | Substance Abuse Rehabilitation Facility | 4421 Stuart Andrew Blvd, Suite 608, Charlotte, NC 28217-1589 | 2013-05-30 |
| 1700289642 | Legacy Treatment Center | Substance Abuse Rehabilitation Facility | 3824 Barrett Dr, Suite 310, Raleigh, NC 27609-7220 | 2014-10-07 |
| 1578904603 | Legacy Treatment Center | Clinical Medical Laboratory | 4421 Stuart Andrew Blvd, Suite 608, Charlotte, NC 28217-1589 | 2013-07-17 |
| Street Address |
5401 NEW CENTRE DRIVE SUITE 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090896 | Niyhosi Wilson-butts | Substance Abuse Rehabilitation Facility | 222 E 30th St, Wilmington, DE 19802-3206 | 2020-10-12 |
| 1912463266 | Essentials of Recovery De | Substance Abuse Rehabilitation Facility | 3700 Lancaster Pike, Wilmington, DE 19805-1511 | 2019-02-12 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1750822847 | Momentum Recovery LLC | Substance Abuse Rehabilitation Facility | 5102 Wrightsville Ave, Wilmington, NC 28403-7054 | 2017-03-09 |
| 1598118515 | Banyan Treatment Center Mass, LLC | Substance Abuse Rehabilitation Facility | 66k Concord St, Wilmington, MA 01887-2179 | 2016-07-14 |
| 1952891368 | Connections | Substance Abuse Rehabilitation Facility | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2018-05-11 |
| 1114056298 | The Wilmington Treatment Center | Substance Abuse Rehabilitation Facility | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-03-05 |
| 1306973086 | East Coast Solutions, Inc | Substance Abuse Rehabilitation Facility | 1312 S 16th St, Wilmington, NC 28401-6422 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
| 1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on LEGACY TREATMENT CENTER.
| 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.