A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Assisted Living Facility | 310400000X |
| Assisted Living, Behavioral Disturbances | 3104A0630X |
* Indicates primary specialty
| NPI Number | 1407735095 |
| Legal business name LBN |
LEGACY1864, LLC |
| Authorized official | RYAN KNUDSON - (CEO/PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/28/2025 |
| Last updated | 05/27/2026 - About 2 weeks ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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.
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