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Legacy Human Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Henderson, North Carolina
NPI 1811166507

Legacy Human Services, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Henderson, NC. Legacy Human Services, Inc. practices in Henderson, NC. The NPI Number for Legacy Human Services, Inc. is 1811166507 and holds a License No. (North Carolina).

The current practice location address for Legacy Human Services, Inc. is 941 U.s. 158, Henderson, NC and can be reached out via phone at 252-492-7778 and via fax at 252-438-6720.

Location: 941 U.s. 158, Henderson, NC, 27536-0088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811166507
Provider Name
Legacy Human Services, Inc.
Credential
Provider Entity Type
Organization
Address
941 U.s. 158, Henderson, NC, 27536-0088
Phone Number
252-492-7778
Fax Number
252-438-6720
Provider Enumeration Date
02/27/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805490 05 NC
institution
Provider Business Practice Location Address Details
Address
941 U.s. 158
City
Henderson
State
North Carolina
Zip
27537
Phone Number
252-492-7778
Fax Number
252-438-6720
person
Provider Business Mailing Address Details
Address
941 U.s. 158
City
Henderson
State
North Carolina
Zip
27537
Phone Number
252-492-7778
Fax Number
252-438-6720
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-091-061 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-091-062 (North Carolina)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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