LEGACY SENIOR CARE LLC
NPI 1083591762
Assisted Living Facility in Rosemount, MN

Q: What is Legacy Senior Care LLC's NPI number?

The NPI number for Legacy Senior Care LLC is 1083591762. It was assigned to this organization in the NPPES registry on August 16, 2025. The provider is doing business as Legacy Senior Care.

Q: What is Legacy Senior Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 16, 2025

12591 SHANNON PKWY, ROSEMOUNT, MN 55068(612) 263-0555 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Legacy Senior Care Llc NPPES

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

LEGACY SENIOR CARE LLC (NPI 1083591762), doing business as Legacy Senior Care, is a healthcare organization registered as an assisted living facility in Rosemount, Minnesota and active in the NPI registry since August 2025. The organization lists Brian Lemar Burwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1083591762

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLEGACY SENIOR CARE LLC

Location Address12591 SHANNON PKWYRosemount, MN 55068-3696

Mailing Address10057 Sunbird CirWoodbury, MN 55129-7601 · (612) 263-0555

Phone(612) 263-0555

Organization SubpartNo

Authorized OfficialBrian Lemar BurwellOwner · (612) 263-0555

Enumeration DateAugust 16, 2025

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1083591762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

12591 SHANNON PKWY, Rosemount, MN 55068

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Other Names 1

Doing Business AsLegacy Senior Care

Other Providers at the Same Location NPPES

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

THE HENDRICKS GROUP INC.

Assisted Living Facility

12591 SHANNON PKWY
ROSEMOUNT, MN 55068

Dakota County (651) 714-7075

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 Care LLC's NPI number?

The NPI number for Legacy Senior Care LLC is 1083591762. It was assigned to this organization in the NPPES registry on August 16, 2025. The provider is doing business as Legacy Senior Care.

Where is Legacy Senior Care LLC located?

Legacy Senior Care LLC is located at 12591 Shannon Pkwy, Rosemount, MN 55068. The listed phone number is (612) 263-0555.

What is Legacy Senior Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Legacy Senior Care LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.