Legacy Horizon Inc.
NPI 1205711355ActiveOrganization· Skilled Nursing Facility· Moreno Valley, CA
Skilled Nursing Facility in Moreno Valley, California, registered in NPPES in August 2025. The authorized official on file is David Mulyatno, Cfo.
Overview
| NPI | 1205711355 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2025 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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