Organization
LEGACY SENIOR MANAGEMENT LLC
Active
Organization
LEGACY SENIOR MANAGEMENT LLC
Active
Other names
Copper Heights BH
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE LEACH (COE)
(602) 368-8203
Entity
Organization
Contact information
Practice address
152 N 56TH ST STE B, MESA, AZ 85205-8718
(480) 985-0680
(480) 396-6231
Mailing address
3602 E GREENWAY RD STE 104, PHOENIX, AZ 85032-4648
(602) 368-8203
(602) 368-8211
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5449
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
06/07/2018
Last updated
06/07/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up