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LEGACY FAMILY CARE PLLC
NPI 1841000361
Family Medicine in Farmington Hills, MI

Active since January 08, 2025CLIA 23D2317715 · Microscopy
23800 ORCHARD LAKE RD STE 202, FARMINGTON HILLS, MI 48336(248) 997-5964 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2025, Jan 8, 2025 (2 updates tracked since 2025).

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

NPI1841000361
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEGACY FAMILY CARE PLLC
Location Address23800 ORCHARD LAKE RD STE 202Farmington Hills, MI 48336-2562
Mailing Address23800 Orchard Lake Rd Ste 202Farmington Hills, MI 48336-2562 · (248) 997-5964
Phone(248) 997-5964
Organization SubpartNo
Authorized OfficialSamuel ParkPractice Administrator · (248) 997-5964
Enumeration DateJanuary 8, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1841000361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23800 ORCHARD LAKE RD STE 202, Farmington Hills, MI 48336
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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, MI
Active · expires Jan 29, 2027
CLIA Number23D2317715
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorHeather Koza
Laboratory Phone(248) 997-5964
Laboratory LocationLegacy Family Care PLLC23800 Orchard Lake Road Suite 202, Farmington Hills, MI 48336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

HEATHER KOZA MD
Family Medicine
23800 ORCHARD LAKE RD STE 202
FARMINGTON HILLS, MI 48336
Oakland County (248) 997-5964

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 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.

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 12 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.