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LEGACY CARE LLC
NPI 1952194342
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, OR

Active since May 28, 2025
6108 SE CLATSOP ST, PORTLAND, OR 97206(202) 352-4712 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Care Llc NPPES

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

LEGACY CARE LLC (NPI 1952194342), doing business as Legacy Care, is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Portland, Oregon and active in the NPI registry since May 2025. The organization lists Bewuqetu Abebe Mekuriya, Director, as its authorized official.

NPPES Registry Identity

NPI1952194342
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLEGACY CARE LLC
Location Address6108 SE CLATSOP STPortland, OR 97206-0708
Mailing Address6108 Se Clatsop StPortland, OR 97206-0708 · (202) 352-4712
Phone(202) 352-4712
Organization SubpartNo
Authorized OfficialBewuqetu Abebe MekuriyaDirector · (202) 352-4712
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1952194342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
6108 SE CLATSOP ST, Portland, OR 97206
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Other Names 1

Doing Business AsLegacy Care

Other Providers at the Same Location NPPES

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

BEWUQETU ABEBE MEKURIYA RN
Community/Behavioral Health
6108 SE CLATSOP ST
PORTLAND, OR 97206
Multnomah County (202) 352-4712

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 Care LLC's NPI number?

The NPI number for Legacy Care LLC is 1952194342. It was assigned to this organization in the NPPES registry on May 28, 2025. The provider is doing business as Legacy Care.

Where is Legacy Care LLC located?

Legacy Care LLC is located at 6108 SE Clatsop St, Portland, OR 97206. The listed phone number is (202) 352-4712.

What is Legacy Care LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Legacy Care LLC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.