LEGACY TERRACE L.P. NPI 1871897751

NPI Information

NPI: 1871897751
Provider Name: LEGACY TERRACE L.P.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 28D0949969

Address:
5700 FREMONT ST
LINCOLN, NE
ZIP 68507
Phone: (402) 464-5700
Get Directions

LEGACY TERRACE L.P. is an assisted living facility in Lincoln, NE. 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 TERRACE L.P. NPI is 1871897751. The provider is registered as an organization entity type.

The provider's business location address is:

5700 FREMONT ST
LINCOLN, NE
ZIP 68507-674
Phone: (402) 464-5700

The provider's authorized official is John Kopetzky .
The authorized official title is Executive Director and has the following contact phone number (402) 464-5700.

The CLIA number assigned to this NPI record is 28D0949969 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 1/6/2011.

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
1	310400000X	Assisted Living Facility		ALF096	NEBRASKA	Yes

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
1	ALF096	OTHER		STATE OF NEBRASKA HEALTH AND HUMAN SERVICES

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: 11/14/2023

NPI Synchronization or Removal

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