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LEGACY LIVING CENTERS
NPI 1982691226
Nursing Facility/Intermediate Care Facility in Vidor, TX

Active since October 03, 2005
470 MOORE DR, VIDOR, TX 77662(409) 769-2454(409) 769-9324 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Living Centers NPPES

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

LEGACY LIVING CENTERS (NPI 1982691226) is a healthcare organization registered as a nursing facility/intermediate care facility in Vidor, Texas and active in the NPI registry since October 2005. The organization lists Janice Pita, Insurance/medicare, as its authorized official.

NPPES Registry Identity

NPI1982691226
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameVIDOR MANOR NURSING HOME INC
Location Address470 MOORE DRVidor, TX 77662-3843
Mailing Address470 Moore DrVidor, TX 77662-3843 · (409) 769-2454 · Fax (409) 769-9324
Phone(409) 769-2454
Fax(409) 769-9324
Organization SubpartNo
Authorized OfficialJanice PitaInsurance/medicare · (580) 622-6300
Enumeration DateOctober 3, 2005
Last NPPES UpdateJune 20, 2008
✔ NPI 1982691226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in TX · 114895
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
470 MOORE DR, Vidor, TX 77662
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Other Names 1

Doing Business AsLegacy Living Centers

Other Identifiers 2

Medicare ID-Type Unspecified67-6108TX · Medicare Texas
Medicaid001013574TX

Other Providers at the Same Location NPPES

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

SHANNON BALDWIN COTA/L
Occupational Therapy Assistant
470 MOORE DR
VIDOR, TX 77662
Orange County (409) 769-2454

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 Vidor Manor Nursing Home Inc's NPI number?

The NPI number for Vidor Manor Nursing Home Inc is 1982691226. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Legacy Living Centers.

Where is Vidor Manor Nursing Home Inc located?

Vidor Manor Nursing Home Inc is located at 470 Moore Dr, Vidor, TX 77662. The listed phone number is (409) 769-2454.

What is Vidor Manor Nursing Home Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Vidor Manor Nursing Home Inc was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.