Legacy Care Home
NPI 1174452122ActiveOrganization· Assisted Living Facility· Golden Valley, MN
Assisted Living Facility in Golden Valley, Minnesota, registered in NPPES in May 2026. The authorized official on file is Stephanie Fryer, LALD, Director Of Operations.
Overview
| NPI | 1174452122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2026 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assisted Living Facility providers in Golden Valley
- 1447147772
- 1083880272
- 1104669118
- 1013089911
- 1891976841
- 1871311001
- 1003281973
- 1093882730
- 1962940262
- 1538526223
- 1285506899