OrganizationActive
Legacy Care LLC
NPI 1902149776 · Family Medicine Physician · Virginia Beach, VA
Provider details
- NPI number
- 1902149776
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Desi-Rae Hall, Delegated Official(757) 251-9419
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
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
2 documented practice locations
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
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone: (757) 536-2246
Street-level locationGet directions
Mailing address
Po Box 645986
Pittsburgh, PA 15264-5257
Additional practice locations (1)
- 1840 Reisterstown RdPikesville, MD 21208-1305Phone: (833) 815-2200
Registry dates
- Enumerated
- 2013-03-30
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.