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LEGACY LIVING
NPI 1063925303
Custodial Care Facility - Adult Care Home in Baxter Springs, KS

Active since November 08, 2017
445 E 10TH ST, BAXTER SPRINGS, KS 66713(620) 856-2756 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Living NPPES

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

LEGACY LIVING (NPI 1063925303) is a healthcare organization registered as an adult care home in Baxter Springs, Kansas and active in the NPI registry since November 2017. The organization lists Randy Duke Dotson, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1063925303
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEGACY LIVING
Location Address445 E 10TH STBaxter Springs, KS 66713-1614
Mailing Address445 E 10th StBaxter Springs, KS 66713-1614 · (620) 856-2756
Phone(620) 856-2756
Organization SubpartNo
Authorized OfficialRandy Duke DotsonOwner/operator · (620) 387-0005
Enumeration DateNovember 8, 2017
✔ NPI 1063925303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in KS · B011004
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.
445 E 10TH ST, Baxter Springs, KS 66713
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Other Identifiers 2

OtherB011004KS · Home Plus
Other818KS · Adult Care Operator

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN HAVEN LLC
Assisted Living Facility
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 304-2108
MRS. CRYSTAL MARIE TAYLOR ARNP
Nurse Practitioner (Family)
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 856-3469
BURDEN MEDICAL CLINIC LLC
Clinic/Center
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 856-3469
TYSON L. BURDEN M.D.
Internal Medicine
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 856-3469
EVERGREEN LIVING LLC
Custodial Care Facility (Adult Care Home)
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 856-2756
ST. JOHN'S MEDICAL GROUP
Clinic/Center (Rural Health)
445 E 10TH ST
BAXTER SPRINGS, KS 66713
Cherokee County (620) 856-3469

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 Living's NPI number?

The NPI number for Legacy Living is 1063925303. It was assigned to this organization in the NPPES registry on November 8, 2017.

Where is Legacy Living located?

Legacy Living is located at 445 E 10th St, Baxter Springs, KS 66713. The listed phone number is (620) 856-2756.

What is Legacy Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Legacy Living was last updated on November 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.