LEGACY HUMAN SERVICES, INC.
NPI 1285803973
Custodial Care Facility - Adult Care Home in Louisburg, NC

Active since February 27, 2008CLIA 34D2085778 · Waiver
29 STRANGE RD, FRANKLIN COUNTY GROUP HOME #2, LOUISBURG, NC 27549(919) 496-6957(252) 438-6720 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2021, Aug 27, 2021, Jan 21, 2021 and 1 more (4 updates tracked since 2018).

About Legacy Human Services, Inc. NPPES

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

LEGACY HUMAN SERVICES, INC. (NPI 1285803973) is a healthcare organization registered as an adult care home in Louisburg, North Carolina and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Jacinta Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285803973
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEGACY HUMAN SERVICES, INC.
Location Address29 STRANGE RD, FRANKLIN COUNTY GROUP HOME #2Louisburg, NC 27549-8564
Mailing AddressPo Box 88Henderson, NC 27536-0088 · (252) 438-6700 · Fax (252) 438-6720
Fax(252) 438-6720
Organization SubpartNo
Authorized OfficialJacinta JohnsonExecutive Director · (252) 438-6700
Enumeration DateFebruary 27, 2008
Last NPPES UpdateSeptember 10, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
NPI 1285803973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · MHL- 035-036
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
29 STRANGE RD, Louisburg, NC 27549

Other Identifiers 1

Medicaid7805494NC

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 34D2085778

Legacy Human Services, Inc · Henderson, NC
Active · expires Oct 21, 2026
CLIA Number34D2085778
Laboratory TypeHalfway House/Grp Home
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorJacinta Johnson
Laboratory Phone(252) 438-6700
Laboratory LocationLegacy Human Services, Inc626 S Garnett St, Henderson, NC 27536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Human Services, Inc.'s NPI number?

The NPI number for Legacy Human Services, Inc. is 1285803973. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Legacy Human Services, Inc. located?

Legacy Human Services, Inc. is located at 29 Strange Rd Franklin County Group Home #2, Louisburg, NC 27549. The listed phone number is (919) 496-6957.

What is Legacy Human Services, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Legacy Human Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2085778) is associated with this NPI, valid through October 21, 2026. 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 Human Services, Inc. was last updated on September 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.