OrganizationActive
Legacy Senior Management LLC
NPI 1780177535 · Mental Illness Community Based Residential Treatment Facility · Mesa, AZ
Provider details
- NPI number
- 1780177535
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Leach, Coe(602) 368-8203
- License
- BH5449 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
152 N 56th St Ste B
Mesa, AZ 85205-8718
Phone: (480) 985-0680
Fax: (480) 396-6231
Street-level locationGet directions
Mailing address
3602 E Greenway Rd Ste 104
Phoenix, AZ 85032-4648
Other names (DBA / former)
- Doing business as
- Copper Heights Bh
- Doing business as
- Copper Heights Bh
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.