MARY'S LEGACY HOMES, LLC
NPI 1639954621
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Montgomery, AL

Q: What is Mary's Legacy Homes, LLC's NPI number?

The NPI number for Mary's Legacy Homes, LLC is 1639954621. It was assigned to this organization in the NPPES registry on August 28, 2023.

Q: What is Mary's Legacy Homes, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since August 28, 2023

5842 SANROCK TERRACE DR, MONTGOMERY, AL 36116(334) 593-5173(334) 593-0376 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mary's Legacy Homes, Llc NPPES

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

MARY'S LEGACY HOMES, LLC (NPI 1639954621) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Montgomery, Alabama and active in the NPI registry since August 2023. The organization lists Shaletta Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1639954621

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMARY'S LEGACY HOMES, LLC

Location Address5842 SANROCK TERRACE DRMontgomery, AL 36116-6550

Mailing Address1803 Shoreham DrMontgomery, AL 36106-2716 · (334) 412-1418 · Fax (334) 593-0376

Phone(334) 593-5173

Fax(334) 593-0376

Organization SubpartNo

Authorized OfficialShaletta DavisExecutive Director · (334) 412-1418

Enumeration DateAugust 28, 2023

Last NPPES UpdateSeptember 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1639954621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

5842 SANROCK TERRACE DR, Montgomery, AL 36116

Open in Google Maps ↗

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 Mary's Legacy Homes, LLC's NPI number?

The NPI number for Mary's Legacy Homes, LLC is 1639954621. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Mary's Legacy Homes, LLC located?

Mary's Legacy Homes, LLC is located at 5842 Sanrock Terrace Dr, Montgomery, AL 36116. The listed phone number is (334) 593-5173.

What is Mary's Legacy Homes, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mary's Legacy Homes, LLC was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.