Legacy Healthcare Corp

LBN: Legacy Healthcare Corp
Legacy Healthcare Corp is an health care organization with primary practice located at 600 Bacon St , Madisonville TX 77864-2511. 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 Healthcare Corp can be contacted via phone (936) 348-9097, or through Johnson, Tom via phone (423) 478-5953.

Contact Information

Primary practice address
600 Bacon St Madisonville TX 77864-2511
Phone: (936) 348-9097
Fax: (936) 348-9212
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tom
Phone: (423) 478-5953

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 116849 Texas

Profile Details

NPI number 1831113463
LBN Legal business name Legacy Healthcare Corp
DBA Doing business as
Authorized official Johnson, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
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 1831113463 NPPES
Texas MEDICAID 5342

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