Legacy Center Llc in Canon City - Assisted Living Facility
Legacy Center Llc - NPI 1679798300
Legacy Center Llc is a Assisted Living Facility in Canon City, Colorado. Legacy Center Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Legacy Center Llc is 1679798300. The last update date is 2020-08-22.
Legacy Center Llc's current location address is 1335 Bauer Lane, Canon City, Colorado. You can contact this provider via phone number 7192752917 and fax number 7192698354. The mailing address for Legacy Center Llc is 1335 Bauer Lane, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Center Llc |
|---|---|
| Address | 1335 Bauer Lane, Canon City, Colorado |
| Phone Number | 7192752917 |
| Fax Number | 7192698354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Prather Dennis |
| Telephone Number | 7192752917 |
NPI Number Detail
| NPI Number | 1679798300 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1335 Bauer Lane |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 81212 |
| Phone Number | 7192752917 |
| Fax Number | 7192698354 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4182119 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Legacy Center Llc?
The Legacy Center Llc has been issued the NPI (National Provider Identifier) 1679798300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Legacy Center Llc?
The Legacy Center Llc is physically situated at 1335 Bauer Lane, in the city of Canon City, state of CO, with the postal code 81212.
What is the Legacy Center Llc's area of specialization and corresponding taxonomy classification?
The Legacy Center Llc's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Legacy Center Llc receive the assignment of its 1679798300 from the Centers for Medicare & Medicaid Services?
The Legacy Center Llc was issued its 1679798300 by the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date was the information regarding Legacy Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Legacy Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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