LEONARD MANOR INC NPI 1679569370

NPI Information

  • NPI: 1679569370
  • Provider Name: LEONARD MANOR INC
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: LEGACY LIVING CENTERS
  • Address: 902 E HACKBERRY ST
    LEONARD, TX
    ZIP 75452
  • Phone: (903) 587-2282

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NPI Details

LEONARD MANOR INC is a nursing facility intermediate care facility in Leonard, TX. The provider is 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. LEONARD MANOR INC NPI is 1679569370. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Living Centers.

The provider's business location address is:

902 E HACKBERRY ST
LEONARD, TX
ZIP 75452-318
Phone: (903) 587-2282
Fax: (903) 587-2594

The provider's authorized official is Janice Pita .
The authorized official title is Insurance/medicare and has the following contact phone number (580) 622-6300.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 8/28/2008.

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
1313M00000XNursing Facility/Intermediate Care Facility112350TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HH322SOTHERTEXASBLUE CROSS BLUE SHIELD TX
267-6016MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE TEXAS
3001012164MEDICAIDTEXAS
41893166-01OTHERTEXASTEXAS MEDICAID PART B

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: 11/21/2025

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