LEGACY GARDENS ASSISTED LIVING NPI 1144347923

NPI Information

  • NPI: 1144347923
  • Provider Name: LEGACY GARDENS ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1601 WHEELER RD
    MADISON, WI
    ZIP 53704
  • Phone: (503) 485-8697

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NPI Details

LEGACY GARDENS ASSISTED LIVING is an assisted living facility in Madison, WI. The provider is 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. LEGACY GARDENS ASSISTED LIVING NPI is 1144347923. The provider is registered as an organization entity type.

The provider's business location address is:

1601 WHEELER RD
MADISON, WI
ZIP 53704-056
Phone: (503) 485-8697
Fax: (503) 485-1279

The provider's authorized official is Jon Harder .
The authorized official title is President and has the following contact phone number (503) 485-4600.

The enumeration date for this NPI number is 3/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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