LEGACY HOUSE INC; NPI #1811517188

Contact Information

LEGACY HOUSE INC

200 W 131ST ST APT 10C
NEW YORK, NY 10027-2041

Phone: 646-875-6181
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Addiction (Substance Use Disorder)	101YA0400X
Assisted Living Facility	310400000X
Community/Behavioral Health	251S00000X
Meals	174200000X
Rehabilitation, Substance Use Disorder Unit	276400000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Substance Abuse Treatment, Children	3245S0500X

Indicates primary specialty

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NPI Profile & details for LEGACY HOUSE INC

NPI #	`1811517188`
LBN Legal business name	LEGACY HOUSE INC
Authorized official	LATASHA CARGO - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/16/2020
Last updated	04/16/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LEGACY HOUSE INC

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NPI Profile & details for LEGACY HOUSE INC

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