LEGACY HEALTHCARE
NPI 1104113026
Assisted Living Facility in Raleigh, NC

Active since June 29, 2011
3001 SPRING FOREST RD, RALEIGH, NC 27616(919) 424-5080 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About LEGACY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Legacy Healthcare, a provider established in Raleigh, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104113026 assigned on June 2011. The practitioner's primary taxonomy code is 310400000X with license number 7096 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Miss Jessica Bullock Cota/l (Cota/l)

NPI
1104113026 Verify this NPI
Provider Name
LEGACY HEALTHCARE
Entity Type
Organization
Location Address
3001 SPRING FOREST RD RALEIGH, NC 27616
Location Phone
(919) 424-5080
Mailing Address
3001 SPRING FOREST RD RALEIGH, NC 27616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2011
Last Update Date
06-29-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
7096
License State
NC
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS JESSICA BULLOCK COTA/L

Authorized Official Title
COTA/L
Authorized Official Phone
(704) 408-0987

Reviews for LEGACY HEALTHCARE

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Speech-Language Pathologist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Speech-Language Pathologist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Physical Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Skilled Nursing Facility
3001 SPRING FOREST RD
RALEIGH, NC 27616
Speech-Language Pathologist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapist (Gerontology)
3001 SPRING FOREST RD
RALEIGH, NC 27616
Physical Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Specialist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Physical Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Physical Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Physical Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Assisted Living Facility
3001 SPRING FOREST RD
RALEIGH, NC 27616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104113026, enumerated as an "organization" on June 29, 2011.

The provider is located at 3001 SPRING FOREST RD RALEIGH, NC 27616 and the phone number is (919) 424-5080.

Assisted Living Facility with taxonomy code 310400000X.