LEGACY
NPI 1831539824
Skilled Nursing Facility in Henderson, NC

Active since July 05, 2013
2275 RUIN CREEK RD, HENDERSON, NC 27537(252) 492-0066 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Skilled Nursing Facility

About LEGACY

This page provides the complete NPI Profile along with additional information for Legacy, a provider established in Henderson, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1831539824 assigned on July 2013. The practitioner's primary taxonomy code is 314000000X with license number 5022 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Jayme Michele Bourgeois Ota/l (Occupational Therapy Assistant)

NPI
1831539824 Verify this NPI
Provider Name
LEGACY
Entity Type
Organization
Location Address
2275 RUIN CREEK RD HENDERSON, NC 27537
Location Phone
(252) 492-0066
Mailing Address
2275 RUIN CREEK ROAD HENDERSON, NC 27537
Mailing Phone
(252) 492-0066
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2013
Last Update Date
07-05-2013
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
5022
License State
NC
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JAYME MICHELE BOURGEOIS OTA/L

Authorized Official Title
OCCUPATIONAL THERAPY ASSISTANT
Authorized Official Phone
(919) 435-1284

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5022OTHER (01)NCOTA/L

Reviews for LEGACY

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Skilled Nursing Facility
2275 RUIN CREEK RD
HENDERSON, NC 27537
Speech-Language Pathologist
2275 RUIN CREEK RD
HENDERSON, NC 27537
Speech-Language Pathologist
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Speech-Language Pathologist
2275 RUIN CREEK RD
HENDERSON, NC 27537
Occupational Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapist
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Physical Therapy Assistant
2275 RUIN CREEK RD
HENDERSON, NC 27537
Skilled Nursing Facility
2275 RUIN CREEK RD
HENDERSON, NC 27537
Speech-Language Pathologist
2275 RUIN CREEK RD
HENDERSON, NC 27537
Skilled Nursing Facility
2275 RUIN CREEK RD
HENDERSON, NC 27537

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831539824, enumerated as an "organization" on July 05, 2013.

The provider is located at 2275 RUIN CREEK RD HENDERSON, NC 27537 and the phone number is (252) 492-0066.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.