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LEGACY SENIOR LIVING
NPI 1063881357
Nursing Facility/Intermediate Care Facility in La Mesa, CA

Active since September 17, 2015
9645 ALTO DR, LA MESA, CA 91941(619) 729-6462 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY SENIOR LIVING (NPI 1063881357) is a healthcare organization registered as a nursing facility/intermediate care facility in La Mesa, California and active in the NPI registry since September 2015. The organization lists Melinda Vaughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063881357
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLEGACY SENIOR LIVING
Location Address9645 ALTO DRLa Mesa, CA 91941-4445
Mailing Address9645 Alto DrLa Mesa, CA 91941-4445
Phone(619) 729-6462
Organization SubpartNo
Authorized OfficialMelinda VaughnCeo · (619) 729-6462
Enumeration DateSeptember 17, 2015
✔ NPI 1063881357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
9645 ALTO DR, La Mesa, CA 91941
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Senior Living's NPI number?

The NPI number for Legacy Senior Living is 1063881357. It was assigned to this organization in the NPPES registry on September 17, 2015.

Where is Legacy Senior Living located?

Legacy Senior Living is located at 9645 Alto Dr, La Mesa, CA 91941. The listed phone number is (619) 729-6462.

What is Legacy Senior Living's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Legacy Senior Living was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.