LEGACY HOUSE INC NPI 1811517188

NPI Information

NPI: 1811517188
Provider Name: LEGACY HOUSE INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address: 200 W 131ST ST APT 10C
NEW YORK, NY
ZIP 10027
Phone: (646) 875-6181

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NPI Details

LEGACY HOUSE INC is a substance abuse rehabilitation facility in New York, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LEGACY HOUSE INC NPI is 1811517188. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 W 131ST ST APT 10C
NEW YORK, NY
ZIP 10027-041
Phone: (646) 875-6181

The provider's authorized official is Latasha N Cargo .
The authorized official title is President and has the following contact phone number (646) 875-6181.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/16/2020.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	174200000X	Meals		No
3	251S00000X	Community/Behavioral Health		No
4	276400000X	Rehabilitation, Substance Use Disorder Unit		No
5	310400000X	Assisted Living Facility		No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
7	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
8	324500000X	Substance Abuse Rehabilitation Facility		Yes

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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