- Practice location
- 200 W 131ST St Apt 10C, New York, NY 10027-2041
- Phone
- 646-875-6181
- Fax
- —
- Last updated
- April 16, 2020
Legacy House INC is a healthcare organization based in New York, NY. Legacy House INC practices in New York, NY. The NPI Number for Legacy House INC is 1811517188. The current practice location address for Legacy House INC is 200 W 131ST St Apt 10C, New York, NY 10027-2041 and can be reached out via phone at 646-875-6181.
Provider Profile Details
- NPI Number
- 1811517188
- Provider Name
- Legacy House INC
- Provider Entity Type
- Organization
- Address
- 200 W 131ST St Apt 10C, New York, NY 10027-2041
- Phone Number
- 646-875-6181
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Latasha N Cargo · President · 646-875-6181
- Provider Enumeration Date
- April 16, 2020
- Last Update Date
- April 16, 2020
- Certification Date
- April 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 W 131ST St Apt 10C
New York, NY 10027-2041 - City
- New York
- State
- New York
- Zip
- 10027-2041
- Phone Number
- 646-875-6181
Provider Business Mailing Address Details
- Address
- 200 W 131ST St Apt 10C
New York, NY 10027-2041 - City
- New York
- State
- NY
- Zip
- 10027-2041
- Phone Number
- 646-875-6181
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Meals · 174200000X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X
- Taxonomy (4)
- Rehabilitation, Substance Use Disorder Unit · 276400000X
- Taxonomy (5)
- Assisted Living Facility · 310400000X
- Taxonomy (6)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (7)
- Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children · 3245S0500X
- Taxonomy (8)
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Legacy House INC?
The NPI number of Legacy House INC is 1811517188. It was assigned on April 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Legacy House INC?
Legacy House INC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Legacy House INC practice?
The practice location is 200 W 131ST St Apt 10C, New York, NY 10027-2041. The office can be reached at 646-875-6181 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811517188 directly on the NPPES registry website.