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LEGACY RECOVERY CENTER LLC
NPI 1356146385
Substance Abuse Rehabilitation Facility in Mesa, AZ

Active since February 14, 2025CLIA Certified · 2 labs
2338 E MINTON ST, MESA, AZ 85213(936) 615-0981 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Recovery Center Llc NPPES

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

LEGACY RECOVERY CENTER LLC (NPI 1356146385) is a healthcare organization registered as a substance abuse rehabilitation facility in Mesa, Arizona and active in the NPI registry since February 2025. The organization holds 2 active CLIA laboratory certificates and lists Richard Miller, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1356146385
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGACY RECOVERY CENTER LLC
Location Address2338 E MINTON STMesa, AZ 85213-1428
Mailing Address24745 S Lindsay RdChandler, AZ 85249-9581 · (936) 615-0981
Phone(936) 615-0981
Organization SubpartYesParent: Legacy Recovery Center, Llc
Authorized OfficialRichard MillerChief Executive Officer · (936) 615-0981
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1356146385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2338 E MINTON ST, Mesa, AZ 85213
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CLIA Laboratory Certificates CMS CLIA 2

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 03D2284128

Legacy Recovery Center · Chandler, AZ
Active · expires Jun 18, 2027
CLIA Number03D2284128
Laboratory TypeBhrf
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorRonald Segal
Laboratory Phone(480) 616-2722
Laboratory LocationLegacy Recovery Center24745 S Lindsay Rd, Chandler, AZ 85249
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2317695

Legacy Recovery Center, LLC · Mesa, AZ
Active · expires Jan 29, 2027
CLIA Number03D2317695
Laboratory TypeBhrf
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorRoland Segal
Laboratory Phone(480) 616-2722
Laboratory LocationLegacy Recovery Center, LLC2338 E Minton St, Mesa, AZ 85213
CLIA data matches this NPI record on: Address Name
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 Recovery Center LLC's NPI number?

The NPI number for Legacy Recovery Center LLC is 1356146385. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Legacy Recovery Center LLC located?

Legacy Recovery Center LLC is located at 2338 E Minton St, Mesa, AZ 85213. The listed phone number is (936) 615-0981.

What is Legacy Recovery Center LLC's specialty?

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

Does Legacy Recovery Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Legacy Recovery Center LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.