LEGACY HEALING NORTH JERSEY LLC
NPI 1255037487
Substance Abuse Rehabilitation Facility in Parsippany, NJ

Active since January 31, 2023CLIA 31D2275305 · Waiver
300 LITTLETON RD STE 200, PARSIPPANY, NJ 07054(561) 308-0865 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Healing North Jersey Llc NPPES

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

LEGACY HEALING NORTH JERSEY LLC (NPI 1255037487) is a healthcare organization registered as a substance abuse rehabilitation facility in Parsippany, New Jersey and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Damaris Gonzalez, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1255037487
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGACY HEALING NORTH JERSEY LLC
Location Address300 LITTLETON RD STE 200Parsippany, NJ 07054-4841
Mailing Address1425 W Cypress Creek Rd Ste 200&201Fort Lauderdale, FL 33309-1916 · (561) 308-0865
Organization SubpartNo
Authorized OfficialDamaris GonzalezDirector Of Operations · (561) 308-0865
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
NPI 1255037487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
300 LITTLETON RD STE 200, Parsippany, NJ 07054

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2275305

Legacy Healing North Jersey LLC · Parsippany, NJ
Active · expires Jan 18, 2027
CLIA Number31D2275305
Laboratory TypeSubstance Abuse
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorDamaris J. Gonzalez
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing North Jersey LLC300 Littleton Road, Ste 200, Parsippany, NJ 07054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
300 LITTLETON RD STE 200
PARSIPPANY, NJ 07054

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 Healing North Jersey LLC's NPI number?

The NPI number for Legacy Healing North Jersey LLC is 1255037487. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Legacy Healing North Jersey LLC located?

Legacy Healing North Jersey LLC is located at 300 Littleton Rd Ste 200, Parsippany, NJ 07054. The listed phone number is (561) 308-0865.

What is Legacy Healing North Jersey LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Legacy Healing North Jersey LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2275305) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legacy Healing North Jersey LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.