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LEGACY CENTER LLC
NPI 1679798300
Assisted Living Facility in Canon City, CO

Active since April 16, 2007
1335 BAUER LN, CANON CITY, CO 81212(719) 275-2917(719) 269-8354 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Center Llc NPPES

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

LEGACY CENTER LLC (NPI 1679798300) is a healthcare organization registered as an assisted living facility in Canon City, Colorado and active in the NPI registry since April 2007. The organization lists Dennis Prather, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679798300
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEGACY CENTER LLC
Location Address1335 BAUER LNCanon City, CO 81212-4670
Mailing Address1335 Bauer LaneCanon City, CO 81212 · (719) 275-2917 · Fax (719) 269-8354
Phone(719) 275-2917
Fax(719) 269-8354
Organization SubpartNo
Authorized OfficialDennis PratherExecutive Director · (719) 275-2917
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679798300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1335 BAUER LN, Canon City, CO 81212
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Other Identifiers 1

Medicaid04182119CO

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 Center LLC's NPI number?

The NPI number for Legacy Center LLC is 1679798300. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Legacy Center LLC located?

Legacy Center LLC is located at 1335 Bauer Ln, Canon City, CO 81212. The listed phone number is (719) 275-2917.

What is Legacy Center 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 Legacy Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.