Legacy Treatment Center
NPI 1053758102 · Substance Abuse Rehabilitation Facility · Charlotte, NC
Legacy Treatment Center is a Substance Abuse Rehabilitation Facility organization in Charlotte, NC (NPI 1053758102).
Provider details
- NPI number
- 1053758102
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Angela Iacullo, Billing Director(561) 715-9288
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2013-07-11
Frequently asked questions
- What is Legacy Treatment Center's NPI number?
- Legacy Treatment Center's National Provider Identifier (NPI) is 1053758102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Treatment Center?
- Legacy Treatment Center is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Legacy Treatment Center located?
- Legacy Treatment Center's practice location on file with NPPES is 4421 Stuart Andrew Blvd, Charlotte, NC 28217-1589.
- What is Legacy Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Legacy Treatment Center is (561) 715-9288.
- Who is the authorized official for Legacy Treatment Center?
- The authorized official listed on Legacy Treatment Center's NPPES record is Angela Iacullo, Billing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Treatment Center's NPI active?
- Yes — Legacy Treatment Center's NPI (1053758102) is active in the NPPES registry as of the last update on 2013-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.