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LEGACY HOUSE LLC
NPI 1871640144
Custodial Care Facility - Adult Care Home in Indianola, IA

Active since January 05, 2007
207 E SALEM AVE, INDIANOLA, IA 50125(515) 961-5245 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy House Llc NPPES

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

LEGACY HOUSE LLC (NPI 1871640144) is a healthcare organization registered as an adult care home in Indianola, Iowa and active in the NPI registry since January 2007. The organization lists Cindy J Brummer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871640144
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEGACY HOUSE LLC
Location Address207 E SALEM AVEIndianola, IA 50125-2621
Mailing Address7740 Larabee StIndianola, IA 50125-7101
Phone(515) 961-5245
Organization SubpartNo
Authorized OfficialCindy J BrummerAdministrator · (515) 961-5245
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1871640144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in IA · 910498
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
207 E SALEM AVE, Indianola, IA 50125
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Other Identifiers 1

Medicaid0896761IA

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 LLC's NPI number?

The NPI number for Legacy House LLC is 1871640144. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Legacy House LLC located?

Legacy House LLC is located at 207 E Salem Ave, Indianola, IA 50125. The listed phone number is (515) 961-5245.

What is Legacy House LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Legacy House LLC was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.