Organization
LEGACY CARE ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI LOPEZ (DIRECTOR REVENUE CYCLE)
(757) 536-2411
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BCH, VA 23452-7332
(757) 536-2246
Mailing address
PO BOX 830063, PHILADELPHIA, PA 19182-0063
(757) 536-2246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2023
Last updated
03/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us