LEGACY
NPI 1992115406
Nursing Facility/Intermediate Care Facility in Raleigh, NC

Q: What is Legacy's NPI number?

The NPI number for Legacy is 1992115406. It was assigned to this organization in the NPPES registry on May 6, 2014.

Q: What is Legacy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Legacy was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 06, 2014

3001 SPRING FOREST RD, RALEIGH, NC 27616(919) 424-5086(919) 424-5085 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Legacy NPPES

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

LEGACY (NPI 1992115406) is a healthcare organization registered as a nursing facility/intermediate care facility in Raleigh, North Carolina and active in the NPI registry since May 2014. The organization lists Bonnie Faye Hummer-wheeler, Certified Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1992115406

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameLEGACY

Location Address3001 SPRING FOREST RDRaleigh, NC 27616-2815

Mailing Address3001spring Forest RoadRaliegh, NC 27616 · (919) 424-5086 · Fax (919) 424-5085

Phone(919) 424-5086

Fax(919) 424-5085

Organization SubpartNo

Authorized OfficialBonnie Faye Hummer-wheelerCertified Occupational Therapist · (910) 964-4764

Enumeration DateMay 6, 2014

✔ NPI 1992115406 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 NC · 5760

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.

3001 SPRING FOREST RD, Raleigh, NC 27616

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Other Identifiers 1

Medicaid25000000NC

Other Providers at the Same Location NPPES 20

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

KRISTY GRAYSON OTR/L

Occupational Therapist