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LEGACY HEALTHCARE
NPI 1376962621
Residential Treatment Facility, Physical Disabilities in Raleigh, NC

Active since April 15, 2014
3001 SPRING FOREST RD, RALEIGH, NC 27616(919) 424-5080 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Healthcare NPPES

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

LEGACY HEALTHCARE (NPI 1376962621) is a healthcare organization registered as a residential treatment facility, physical disabilities in Raleigh, North Carolina and active in the NPI registry since April 2014. The organization lists Kim Florene Fultz, Lpta, as its authorized official.

NPPES Registry Identity

NPI1376962621
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameLEGACY HEALTHCARE
Location Address3001 SPRING FOREST RDRaleigh, NC 27616-2815
Mailing Address3001 Spring Forest RdRaleigh, NC 27616-2815 · (919) 424-5080
Phone(919) 424-5080
Organization SubpartNo
Authorized OfficialKim Florene FultzLpta · (336) 307-6056
Enumeration DateApril 15, 2014
✔ NPI 1376962621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in NC · 2870
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
3001 SPRING FOREST RD, Raleigh, NC 27616
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Other Providers at the Same Location NPPES 20

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

KRISTY GRAYSON OTR/L
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-5080
MISS LAURA LEE NICHOLSON OTR L
Occupational Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (910) 724-7770
MS. REGINA WENSIL BEAMON COTA/L
Skilled Nursing Facility
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-4310
DR. MAUREEN ANN HARDEN DPT
Specialist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-5080
PEGGY A LOCKHART SLP
Speech-Language Pathologist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-5080
MRS. BETH ANN ASBELL MA CCC-SLP
Speech-Language Pathologist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-4318
JULIE PIETRYCHA
Physical Therapy Assistant
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 424-5080
ALISA GODWIN DUNN PT
Physical Therapist
3001 SPRING FOREST RD
RALEIGH, NC 27616
Wake County (919) 847-3324

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 Healthcare's NPI number?

The NPI number for Legacy Healthcare is 1376962621. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Legacy Healthcare located?

Legacy Healthcare is located at 3001 Spring Forest Rd, Raleigh, NC 27616. The listed phone number is (919) 424-5080.

What is Legacy Healthcare's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.