INTEGRATED LEGACY SUPPORT SERVICES, LLC
NPI 1205680386
Community/Behavioral Health in Goodyear, AZ

Active since April 15, 2024
15526 W RIO VISTA LN, GOODYEAR, AZ 85338(480) 516-6081 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Legacy Support Services, Llc NPPES

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

INTEGRATED LEGACY SUPPORT SERVICES, LLC (NPI 1205680386) is a healthcare organization registered as a community/behavioral health in Goodyear, Arizona and active in the NPI registry since April 2024. The organization lists Nashid Mateen, Owner, as its authorized official.

NPPES Registry Identity

NPI1205680386
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINTEGRATED LEGACY SUPPORT SERVICES, LLC
Location Address15526 W RIO VISTA LNGoodyear, AZ 85338-9441
Mailing AddressPo Box 67472Phoenix, AZ 85082-7472
Organization SubpartNo
Authorized OfficialNashid MateenOwner · (480) 516-6081
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
NPI 1205680386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
15526 W RIO VISTA LN, Goodyear, AZ 85338

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
15526 W RIO VISTA LN
GOODYEAR, AZ 85338
Community/Behavioral Health
15526 W RIO VISTA LN
GOODYEAR, AZ 85338

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 Integrated Legacy Support Services, LLC's NPI number?

The NPI number for Integrated Legacy Support Services, LLC is 1205680386. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Integrated Legacy Support Services, LLC located?

Integrated Legacy Support Services, LLC is located at 15526 W Rio Vista Ln, Goodyear, AZ 85338. The listed phone number is (480) 516-6081.

What is Integrated Legacy Support Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Integrated Legacy Support Services, LLC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.