Indigo Legends Enterprise Llc

LBN: Indigo Legends Enterprise Llc
Indigo Legends Enterprise Llc is an health care organization with primary practice located at 4761 Queen Pierrette St , Raleigh NC 27610-8706. The organization recently has 15 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Assisted Living Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Transportation Broker. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Indigo Legends Enterprise Llc can be contacted via phone (336) 268-5127, or through Wilson, Latoya Shena via phone (336) 268-5127.

Contact Information

Primary practice address
4761 Queen Pierrette St Raleigh NC 27610-8706
Phone: (336) 268-5127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Latoya Shena LCSW-A, LCAS-A
Phone: (336) 268-5127

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1992641740
LBN Legal business name Indigo Legends Enterprise Llc
DBA Doing business as
Authorized official Wilson, Latoya Shena LCSW-A, LCAS-A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2026
Last updated May 6th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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