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LEGACY HOUSE COMMUNITY SERVICE
NPI 1730890047
Community/Behavioral Health in Phoenix, AZ

Active since December 07, 2022
11747 N 19TH AVE STE 104, PHOENIX, AZ 85029(901) 215-6101 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy House Community Service NPPES

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

LEGACY HOUSE COMMUNITY SERVICE (NPI 1730890047) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since December 2022. The organization lists Francine Robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1730890047
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLEGACY HOUSE COMMUNITY SERVICE
Location Address11747 N 19TH AVE STE 104Phoenix, AZ 85029-3590
Mailing Address11747 N 19th Ave Ste 104Phoenix, AZ 85029-3590 · (901) 215-6101
Phone(901) 215-6101
Organization SubpartNo
Authorized OfficialFrancine RobertsonOwner · (901) 215-6101
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1730890047 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.
11747 N 19TH AVE STE 104, Phoenix, AZ 85029
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Other Providers at the Same Location NPPES 3

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

GLADYS E ALONSO
Behavior Technician
11747 N 19TH AVE STE 104
PHOENIX, AZ 85029
Maricopa County (602) 341-6403
MARNEISHA Y KING
Behavior Technician
11747 N 19TH AVE STE 104
PHOENIX, AZ 85029
Maricopa County (602) 341-6403
FRANCINE ANTONETTE ROBERTSON
Behavior Technician
11747 N 19TH AVE STE 104
PHOENIX, AZ 85029
Maricopa County (602) 341-6403

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 House Community Service's NPI number?

The NPI number for Legacy House Community Service is 1730890047. It was assigned to this organization in the NPPES registry on December 7, 2022.

Where is Legacy House Community Service located?

Legacy House Community Service is located at 11747 N 19th Ave Ste 104, Phoenix, AZ 85029. The listed phone number is (901) 215-6101.

What is Legacy House Community Service'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 Legacy House Community Service was last updated on December 7, 2022. 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.