Legacy House Inc
Substance Abuse Rehabilitation Facility

Address: 200 W 131st St Apt 10c, New York, NY 10027-2041
Phone: 6468756181

Legacy House Inc (NPI# 1811517188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1811517188
Entity Type Organization
Organization Name LEGACY HOUSE INC
Practice Address 200 W 131st St Apt 10c
New York
NY 10027-2041
Practice Telephone 6468756181
Mailing Address 200 W 131st St Apt 10c
New York
NY 10027-2041
Mailing Telephone 6468756181
Authorized Official Name Latasha N Cargo (PRESIDENT)
Authorized Official Telephone 6468756181
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-16
Last Update Date 2020-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers
No 174200000X Meals Other Service Providers
No 251S00000X Community/Behavioral Health Agencies
No 276400000X Rehabilitation, Substance Use Disorder Unit Hospital Units
No 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
No 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
No 3245S0500X Substance Abuse Rehabilitation Facility · Substance Abuse Treatment, Children Residential Treatment Facilities
Yes 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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.
Notes: [7/1/2003: modified title, modified definition]

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1174069264 Samaritan Daytop Village Substance Abuse Rehabilitation Facility 327 W 43rd St, New York, NY 10036-6406 2017-01-12
1730623489 Argus Community, Inc. Substance Abuse Rehabilitation Facility 202-204 Edgecombe Avenue, New York, NY 10030-1102 2016-12-15
1912376062 Addicts Rehabilitation Center Fund Inc. Substance Abuse Rehabilitation Facility 1881 Park Avenue, New York, NY 10035 2015-09-18
1407242191 Rodney Reyes Substance Abuse Rehabilitation Facility 121 W 111th St, New York, NY 10026-4207 2015-04-09
1154711612 Create, Inc. Substance Abuse Rehabilitation Facility 121-123 West 111th Street, New York, NY 10026 2015-02-04
1316350788 Esperanza Substance Abuse Rehabilitation Facility 170 E 107th St, New York, NY 10029-3905 2014-06-03
1386071520 Project Renewal Substance Abuse Rehabilitation Facility 8 East 3rd St, New York, NY 10003 2013-10-02
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Office Location

Street Address 200 W 131ST ST APT 10C
City NEW YORK
State NY
Zip Code 10027-2041

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Competitor

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City NEW YORK
Zip Code 10027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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