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LEGACY HEALTHCARE
NPI 1912496985
Nurse Practitioner - Gerontology in Arlington, TX

Active since May 05, 2018
1918 SANTA ANNA DR, ARLINGTON, TX 76001(817) 201-4503(682) 238-3180 Get Directions Write a Review

NPPES record last updated: May 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Healthcare NPPES

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

LEGACY HEALTHCARE (NPI 1912496985) is a healthcare organization registered as a gerontology in Arlington, Texas and active in the NPI registry since May 2018. The organization lists Yonah Knuckles, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912496985
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameLEGACY HEALTHCARE
Location Address1918 SANTA ANNA DRArlington, TX 76001-5611
Mailing Address1918 Santa Anna DrArlington, TX 76001-5611 · (817) 201-4503
Phone(817) 201-4503
Fax(682) 238-3180
Organization SubpartNo
Authorized OfficialYonah KnucklesAdministrator · (817) 201-4503
Enumeration DateMay 5, 2018
✔ NPI 1912496985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · AG03180006
1918 SANTA ANNA DR, Arlington, TX 76001
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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

Other Providers at the Same Location NPPES

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

LAKEWOOD HEALTH CARE AGENCY INC
Home Health
1918 SANTA ANNA DR
ARLINGTON, TX 76001
Tarrant County (817) 201-4503

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 Healthcare's NPI number?

The NPI number for Legacy Healthcare is 1912496985. It was assigned to this organization in the NPPES registry on May 5, 2018.

Where is Legacy Healthcare located?

Legacy Healthcare is located at 1918 Santa Anna Dr, Arlington, TX 76001. The listed phone number is (817) 201-4503.

What is Legacy Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare was last updated on May 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.