Legacy Residential Program
NPI 1003506171 · Case Management Agency · Philadelphia, PA
Legacy Residential Program is a Case Management Agency organization in Philadelphia, PA (NPI 1003506171).
Provider details
- NPI number
- 1003506171
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ashley Edwards, Ceo(215) 397-7823
Specialties & taxonomies
Agencies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- House of Lilies
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Frequently asked questions
- What is Legacy Residential Program's NPI number?
- Legacy Residential Program's National Provider Identifier (NPI) is 1003506171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Residential Program?
- Legacy Residential Program is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Legacy Residential Program located?
- Legacy Residential Program's practice location on file with NPPES is 2156 N 30th St, Philadelphia, PA 19121-1101.
- What is Legacy Residential Program's phone number?
- The practice phone number listed in the NPPES registry for Legacy Residential Program is (267) 315-5124.
- Who is the authorized official for Legacy Residential Program?
- The authorized official listed on Legacy Residential Program's NPPES record is Ashley Edwards, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Residential Program's NPI active?
- Yes — Legacy Residential Program's NPI (1003506171) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.