OrganizationActive
Legacy Healthcare
NPI 1104113026 · Assisted Living Facility · Raleigh, NC
Legacy Healthcare is a Assisted Living Facility organization in Raleigh, NC (NPI 1104113026).
Provider details
- NPI number
- 1104113026
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Bullock, Cota/L(704) 408-0987
- License
- 7096 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3001 Spring Forest Rd
Raleigh, NC 27616-2815
Phone: (919) 424-5080
Street-level locationGet directions
Mailing address
3001 Spring Forest Rd
Raleigh, NC 27616-2815
Registry dates
- Enumerated
- 2011-06-29
- Last updated
- 2011-06-29
Frequently asked questions
- What is Legacy Healthcare's NPI number?
- Legacy Healthcare's National Provider Identifier (NPI) is 1104113026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Healthcare?
- Legacy Healthcare is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Legacy Healthcare located?
- Legacy Healthcare's practice location on file with NPPES is 3001 Spring Forest Rd, Raleigh, NC 27616-2815.
- What is Legacy Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Legacy Healthcare is (919) 424-5080.
- Who is the authorized official for Legacy Healthcare?
- The authorized official listed on Legacy Healthcare's NPPES record is Jessica Bullock, Cota/L. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Healthcare's NPI active?
- Yes — Legacy Healthcare's NPI (1104113026) is active in the NPPES registry as of the last update on 2011-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.