Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEGACY LIFE ENRICHMENT LLC
NPI 1841103892
Intermediate Care Facility, Intellectual Disabilities in Gaston, SC

Q: What is Legacy Life Enrichment LLC's NPI number?

The NPI number for Legacy Life Enrichment LLC is 1841103892. It was assigned to this organization in the NPPES registry on September 22, 2026.

Q: What is Legacy Life Enrichment LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since September 22, 2026

166 WOODCREST LN, GASTON, SC 29053(803) 413-3622 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Legacy Life Enrichment Llc NPPES

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

LEGACY LIFE ENRICHMENT LLC (NPI 1841103892) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gaston, South Carolina and active in the NPI registry since September 2026. The organization lists Linda Wickens, Owner, as its authorized official.

NPPES Registry Identity

NPI1841103892

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLEGACY LIFE ENRICHMENT LLC

Location Address166 WOODCREST LNGaston, SC 29053-9523

Mailing Address166 Woodcrest LnGaston, SC 29053-9523 · (803) 413-3622

Phone(803) 413-3622

Organization SubpartNo

Authorized OfficialLinda WickensOwner · (803) 413-3622

Enumeration DateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1841103892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

166 WOODCREST LN, Gaston, SC 29053

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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 Legacy Life Enrichment LLC's NPI number?

The NPI number for Legacy Life Enrichment LLC is 1841103892. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Legacy Life Enrichment LLC located?

Legacy Life Enrichment LLC is located at 166 Woodcrest Ln, Gaston, SC 29053. The listed phone number is (803) 413-3622.

What is Legacy Life Enrichment LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Legacy Life Enrichment LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.