LEGACY FAMILY CARE PLLC
NPI 1841000361
Family Medicine in Farmington Hills, MI
About Legacy Family Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY FAMILY CARE PLLC (NPI 1841000361) is a healthcare organization registered as a family medicine in Farmington Hills, Michigan and active in the NPI registry since January 2025. The organization holds a CLIA Microscopy certificate valid through January 29, 2027 and lists Samuel Park, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Family Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Family Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Farmington Hills, MI 48336
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2317715
Legacy Family Care PLLC · Farmington Hills, MIFrequently 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 Family Care PLLC's NPI number?
The NPI number for Legacy Family Care PLLC is 1841000361. It was assigned to this organization in the NPPES registry on January 8, 2025.
Where is Legacy Family Care PLLC located?
Legacy Family Care PLLC is located at 23800 Orchard Lake Rd Ste 202, Farmington Hills, MI 48336. The listed phone number is (248) 997-5964.
What is Legacy Family Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Legacy Family Care PLLC enrolled in Medicare?
Yes. Legacy Family Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Family Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Legacy Family Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Legacy Family Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2317715) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Legacy Family Care PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Legacy Family Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Legacy Family Care PLLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Legacy Family Care Pllc · NPI 1841000361
Family Medicine organization in Farmington Hills, Michigan. Organization record, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1841000361 (Entity type: Organization)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Park, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 23800 ORCHARD LAKE RD STE 202, Farmington Hills, MI 48336-2562
- **Phone:** (248) 997-5964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841000361) · Data from the CMS NPPES public registry.