LEGACY1864, LLC
NPI 1407735095
Assisted Living Facility in Spokane, WA
- Organization
- Assisted Living Facility
About LEGACY1864, LLC
This page provides the complete NPI Profile along with additional information for Legacy1864, Llc, a provider established in Spokane, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1407735095 assigned on August 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Ryan Knudson (Ceo/president)
- NPI
- 1407735095 Verify this NPI
- Provider Name
- LEGACY1864, LLC
- Entity Type
- Organization
- Location Address
- 1620 E MEAD ST SPOKANE, WA 99218
- Location Phone
- (509) 467-1135
- Location Fax
- (509) 468-7906
- Mailing Address
- PO BOX 1438 MEAD, WA 99021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2025
- Last Update Date
- 05-27-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407735095, enumerated as an "organization" on August 28, 2025.
The provider is located at 1620 E MEAD ST SPOKANE, WA 99218 and the phone number is (509) 467-1135.
Assisted Living Facility with taxonomy code 310400000X.
