LEGACY HUMAN SERVICES, INC.
NPI 1902075690
Custodial Care Facility - Adult Care Home in Ridgeway, NC

Q: What is Legacy Human Services, Inc.'s NPI number?

The NPI number for Legacy Human Services, Inc. is 1902075690. It was assigned to this organization in the NPPES registry on February 27, 2008.

Q: What is Legacy Human Services, Inc.'s specialty?

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

Active since February 27, 2008

109 MUSTIAN ROAD, WARREN COUNTY GROUP HOME, RIDGEWAY, NC 27570(252) 456-3177 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 10, 2021, Nov 26, 2018 (2 updates tracked since 2018).

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About Legacy Human Services, Inc. NPPES

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

LEGACY HUMAN SERVICES, INC. (NPI 1902075690) is a healthcare organization registered as an adult care home in Ridgeway, North Carolina and active in the NPI registry since February 2008. The organization lists Jacinta Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902075690

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameLEGACY HUMAN SERVICES, INC.

Location Address109 MUSTIAN ROAD, WARREN COUNTY GROUP HOMERidgeway, NC 27570

Mailing AddressPo Box 88Henderson, NC 27536-0088 · (252) 438-6700 · Fax (252) 438-6720

Phone(252) 456-3177

Organization SubpartNo

Authorized OfficialJacinta JohnsonExecutive Director · (252) 438-6700

Enumeration DateFebruary 27, 2008

Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2021

✔ NPI 1902075690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · MHL-093-031

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License MHL-093-031 (NC)

109 MUSTIAN ROAD, Ridgeway, NC 27570

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Other Identifiers 1

Medicaid7805489NC

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 Human Services, Inc.'s NPI number?

The NPI number for Legacy Human Services, Inc. is 1902075690. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Legacy Human Services, Inc. located?

Legacy Human Services, Inc. is located at 109 Mustian Road Warren County Group Home, Ridgeway, NC 27570. The listed phone number is (252) 456-3177.

What is Legacy Human Services, Inc.'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 Human Services, Inc. was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.