LEGENDARY HEALTH PERFORMANCE, LLC
NPI 1730877812
Community/Behavioral Health in Waianae, HI

Q: What is Legendary Health Performance, LLC's NPI number?

The NPI number for Legendary Health Performance, LLC is 1730877812. It was assigned to this organization in the NPPES registry on April 27, 2023.

Q: What is Legendary Health Performance, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 27, 2023

86-058 ALTA ST, WAIANAE, HI 96792(808) 358-0800 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Legendary Health Performance, Llc NPPES

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

LEGENDARY HEALTH PERFORMANCE, LLC (NPI 1730877812) is a healthcare organization registered as a community/behavioral health in Waianae, Hawaii and active in the NPI registry since April 2023. The organization lists Tiffany Jarae Wilson-landrum, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1730877812

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLEGENDARY HEALTH PERFORMANCE, LLC

Location Address86-058 ALTA STWaianae, HI 96792-3031

Mailing AddressPo Box 4055Waianae, HI 96792-7055 · (808) 358-0800

Phone(808) 358-0800

Organization SubpartNo

Authorized OfficialTiffany Jarae Wilson-landrumLicensed Clinical Psychologist · (808) 358-0800

Enumeration DateApril 27, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1730877812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

86-058 ALTA ST, Waianae, HI 96792

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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 Legendary Health Performance, LLC's NPI number?

The NPI number for Legendary Health Performance, LLC is 1730877812. It was assigned to this organization in the NPPES registry on April 27, 2023.

Where is Legendary Health Performance, LLC located?

Legendary Health Performance, LLC is located at 86-058 Alta St, Waianae, HI 96792. The listed phone number is (808) 358-0800.

What is Legendary Health Performance, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Legendary Health Performance, LLC was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.