LEGACY COMMUNITY CENTER LLC
NPI 1942895792
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coral Springs, FL

Q: What is Legacy Community Center LLC's NPI number?

The NPI number for Legacy Community Center LLC is 1942895792. It was assigned to this organization in the NPPES registry on March 3, 2021.

Q: What is Legacy Community Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 03, 2021

10211 W SAMPLE RD STE 212214, CORAL SPRINGS, FL 33065(954) 603-7177(786) 364-7543 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2026, Jun 24, 2025, Dec 4, 2023 and 1 more (4 updates tracked since 2021).

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About Legacy Community Center Llc NPPES

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

LEGACY COMMUNITY CENTER LLC (NPI 1942895792) is a healthcare organization registered as a mental health (including community mental health center) in Coral Springs, Florida and active in the NPI registry since March 2021. The organization lists Lissette Garzon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942895792

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLEGACY COMMUNITY CENTER LLC

Location Address10211 W SAMPLE RD STE 212214Coral Springs, FL 33065-3972

Mailing Address10211 W Sample Rd Ste 212214Coral Springs, FL 33065-3972 · (954) 603-7177 · Fax (786) 364-7543

Phone(954) 603-7177

Fax(786) 364-7543

Organization SubpartNo

Authorized OfficialLissette GarzonCeo · (954) 600-1728

Enumeration DateMarch 3, 2021

Last NPPES UpdateMay 1, 20264 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1942895792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedCase ManagementTaxonomy 251B00000X

10211 W SAMPLE RD STE 212214, Coral Springs, FL 33065

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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 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Community Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Community Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ledia Urbano, L.C.S.W., C.A.C.

Clinical Social Worker

NPI 1639285646

6848 STIRLING RD
Hollywood, FL 33024

(954) 362-0104

✔ PECOS16 mi

Elizabeth Gingerich, LCSW

Clinical Social Worker

NPI 1184246456

821 MERIDIAN AVE APT 10
Miami Beach, FL 33139

(305) 290-2433

✔ PECOS35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Center LLC's NPI number?

The NPI number for Legacy Community Center LLC is 1942895792. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Legacy Community Center LLC located?

Legacy Community Center LLC is located at 10211 W Sample Rd Ste 212214, Coral Springs, FL 33065. The listed phone number is (954) 603-7177.

What is Legacy Community Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Legacy Community Center LLC enrolled in Medicare?

Yes. Legacy Community Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Community Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Legacy Community Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Community Center LLC accept?

Health plans from 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Legacy Community Center LLC 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 Community Center LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.