LEGACY HORIZON INC.
NPI 1205711355
Skilled Nursing Facility in Moreno Valley, CA

Active since August 07, 2025
13942 DOMINICAN AVE, MORENO VALLEY, CA 92555(951) 214-2581 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Horizon Inc. NPPES

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

LEGACY HORIZON INC. (NPI 1205711355), doing business as Legacy Horizon, is a healthcare organization registered as a skilled nursing facility in Moreno Valley, California and active in the NPI registry since August 2025. The organization lists David Mulyatno, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205711355
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGACY HORIZON INC.
Location Address13942 DOMINICAN AVEMoreno Valley, CA 92555-2566
Mailing Address13942 Dominican AveMoreno Valley, CA 92555-2566 · (951) 214-2581
Organization SubpartNo
Authorized OfficialDavid MulyatnoCfo · (951) 214-2581
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1205711355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
13942 DOMINICAN AVE, Moreno Valley, CA 92555

Other Names 1

Doing Business AsLegacy Horizon

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
13942 DOMINICAN AVE
MORENO VALLEY, CA 92555
Skilled Nursing Facility
13942 DOMINICAN AVE
MORENO VALLEY, CA 92555

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 Horizon Inc.'s NPI number?

The NPI number for Legacy Horizon Inc. is 1205711355. It was assigned to this organization in the NPPES registry on August 7, 2025. The provider is doing business as Legacy Horizon.

Where is Legacy Horizon Inc. located?

Legacy Horizon Inc. is located at 13942 Dominican Ave, Moreno Valley, CA 92555. The listed phone number is (951) 214-2581.

What is Legacy Horizon Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Legacy Horizon Inc. was last updated on August 7, 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.