1ST Legacy LLC
Assisted Living Facility, Assisted Living, Mental Illness in Dallas, Texas
1730089582- Practice location
- 2426 Jordan St, Dallas, TX 75215-3737
- Phone
- 202-361-1275
- Fax
- —
- Last updated
- November 6, 2026
1ST Legacy LLC is a healthcare organization based in Dallas, TX. The NPI number for 1ST Legacy LLC is 1730089582. The current practice location address is 2426 Jordan St, Dallas, TX 75215-3737 and the office can be reached by phone at 202-361-1275. The NPI was assigned on November 6, 2026 and the record was last updated in NPPES on November 6, 2026.
●Provider Profile Details
- NPI Number
- 1730089582
- Provider Name
- 1ST Legacy LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Assisted Living Facility, Assisted Living, Mental Illness · 3104A0625X
- Organization Subpart
- No
- Authorized Official
- Dr. Negassi Bire · Director · 202-468-6274
- Enumeration Date
- November 6, 2026
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2426 Jordan St
Dallas, TX 75215-3737 - City
- Dallas
- State
- Texas
- ZIP
- 75215-3737
- Country
- US
- Phone Number
- 202-361-1275
✉Business Mailing Address
- Address
- 111 Summit Ridge Dr
Rockwall, TX 75087-4231 - City
- Rockwall
- State
- TX
- ZIP
- 75087-4231
- Phone Number
- 202-468-6274
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Dallas, TX
View all providers in Dallas →?Frequently Asked Questions
What is the NPI number of 1ST Legacy LLC?
The NPI number of 1ST Legacy LLC is 1730089582. It was assigned on November 6, 2026 and is currently active in the NPPES registry.
What is the specialty of 1ST Legacy LLC?
1ST Legacy LLC is registered under the primary taxonomy Assisted Living Facility, Assisted Living, Mental Illness (code 3104A0625X).
Where does 1ST Legacy LLC practice?
The practice location is 2426 Jordan St, Dallas, TX 75215-3737. The office can be reached at 202-361-1275 (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 1730089582 directly on the NPPES registry website at npiregistry.cms.hhs.gov.