National Provider Identifier Database

LEGACY HUMAN SERVICES INC
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

LEGACY HUMAN SERVICES, INC.
941 U.S. 158
VANCE ADULT GROUP HOME
HENDERSON, NC27537
Phone: 252-492-7778
Fax: 252-438-6720
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for LEGACY HUMAN SERVICES, INC.

NPI Number 1811166507
Legal business name
LBN
LEGACY HUMAN SERVICES, INC.
Authorized official JACINTA JOHNSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/27/2008
Last updated 09/10/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: MHL-091-061
  • NC License #: MHL-091-062
  • NC Medicaid: 7805490

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LEGACY HUMAN SERVICES, INC.

There are currently no reviews for LEGACY HUMAN SERVICES, INC.


NPIdb - Home
v2.201