LEGACY1864, LLC
NPI 1407735095
Assisted Living Facility in Spokane, WA

Q: What is Legacy1864, LLC's NPI number?

The NPI number for Legacy1864, LLC is 1407735095. It was assigned to this organization in the NPPES registry on August 28, 2025. The provider is doing business as Willow Grove.

Q: What is Legacy1864, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Legacy1864, LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 28, 2025

1620 E MEAD ST, SPOKANE, WA 99218(509) 467-1135(509) 468-7906 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Legacy1864, Llc NPPES

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

LEGACY1864, LLC (NPI 1407735095), doing business as Willow Grove, is a healthcare organization registered as an assisted living facility in Spokane, Washington and active in the NPI registry since August 2025. The organization lists Ryan Knudson, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1407735095

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLEGACY1864, LLC

Location Address1620 E MEAD STSpokane, WA 99218-1772

Mailing AddressPo Box 1438Mead, WA 99021-1438

Phone(509) 467-1135

Fax(509) 468-7906

Organization SubpartNo

Authorized OfficialRyan KnudsonCeo/president · (509) 954-6919

Enumeration DateAugust 28, 2025

Last NPPES UpdateMay 27, 2026

NPPES CertifiedMay 27, 2026

✔ NPI 1407735095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

1620 E MEAD ST, Spokane, WA 99218

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Other Names 1

Doing Business AsWillow Grove

Other Providers at the Same Location NPPES

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

WILLOW GROVE, INC.

Assisted Living Facility

1620 E MEAD ST
SPOKANE, WA 99218

Spokane County (509) 467-1135

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 Legacy1864, LLC's NPI number?

The NPI number for Legacy1864, LLC is 1407735095. It was assigned to this organization in the NPPES registry on August 28, 2025. The provider is doing business as Willow Grove.

Where is Legacy1864, LLC located?

Legacy1864, LLC is located at 1620 E Mead St, Spokane, WA 99218. The listed phone number is (509) 467-1135.

What is Legacy1864, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Legacy1864, LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.