<Unavail>

LBN: Legacy Care Centers, Inc.
<Unavail> is an health care organization with primary practice located at 921 W Cannon St , Fort Worth TX 76104-3026. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Legacy Care Centers, Inc. can be contacted via phone (817) 332-9261, or through Killian, Cheryl L via phone (817) 654-3042.

Contact Information

Primary practice address
921 W Cannon St Fort Worth TX 76104-3026
Phone: (817) 332-9261
Fax: (817) 332-3035
Website:
Map and Directions
Authorized official contact:
Name: Killian, Cheryl L
Phone: (817) 654-3042

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 112967 Texas

Profile Details

NPI number 1114924529
LBN Legal business name Legacy Care Centers, Inc.
DBA Doing business as <Unavail>
Authorized official Killian, Cheryl L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 22nd, 2020 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114924529 NPPES
Texas MEDICAID 4192

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