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LEGACY HOUSE NPI 1285757187


NPI Information

NPI: 1285757187
Provider Name: LEGACY HOUSE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
6893 HAPPY VALLEY RD
ANDERSON, CA
ZIP 96007
Phone: (530) 365-9119
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LEGACY HOUSE is a community based residential treatment facility mental illness in Anderson, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LEGACY HOUSE NPI is 1285757187. The provider is registered as an organization entity type.

The provider's business location address is:

6893 HAPPY VALLEY RD
ANDERSON, CA
ZIP 96007-526
Phone: (530) 365-9119

The provider's authorized official is David I Nervo .
The authorized official title is Owner and has the following contact phone number (707) 467-0911.

The enumeration date for this NPI number is 4/8/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessCALIFORNIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.