Legacy Horizon Inc.
NPI 1205711355 · Skilled Nursing Facility · Moreno Valley, CA
Legacy Horizon Inc. is a Skilled Nursing Facility organization in Moreno Valley, CA (NPI 1205711355).
Provider details
- NPI number
- 1205711355
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Mulyatno, Cfo(951) 214-2581
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- Legacy Horizon
Registry dates
- Enumerated
- 2025-08-07
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Legacy Horizon Inc.'s NPI number?
- Legacy Horizon Inc.'s National Provider Identifier (NPI) is 1205711355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Horizon Inc.?
- Legacy Horizon Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Legacy Horizon Inc. located?
- Legacy Horizon Inc.'s practice location on file with NPPES is 13942 Dominican Ave, Moreno Valley, CA 92555-2566.
- What is Legacy Horizon Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Legacy Horizon Inc. is (951) 214-2581.
- Who is the authorized official for Legacy Horizon Inc.?
- The authorized official listed on Legacy Horizon Inc.'s NPPES record is David Mulyatno, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Horizon Inc.'s NPI active?
- Yes — Legacy Horizon Inc.'s NPI (1205711355) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.