{"npi":"1790954576","type":"NPI-2","status":"active","name":{"display":"Legacy Human Services, Inc.","other":[],"organization_name":"LEGACY HUMAN SERVICES, INC.","authorised_official":"Jacinta Johnson"},"specialty":{"primary_taxonomy":"311ZA0620X","primary_taxonomy_description":"Adult Care Home Facility","slug":"adult-care-home-facility","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":false,"state":"NC","license":"MHL-091-060"},{"code":"311ZA0620X","description":"Adult Care Home Facility","primary":true,"state":"NC","license":"MHL-091-060"}]},"addresses":[{"purpose":"LOCATION","street_1":"1642 GRAHAM AVE","city":"HENDERSON","state":"NC","postal_code":"275362914","country_code":"US","street_2":"GRAHAM AVENUE GROUP HOME","phone":"2524929545"},{"purpose":"MAILING","street_1":"PO BOX 88","city":"HENDERSON","state":"NC","postal_code":"275360088","country_code":"US","phone":"2524386700","fax":"2524386720"}],"license":{"state":"NC","number":"MHL-091-060"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7805491","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-26","last_updated":"2021-09-10","_meta":{"source":"NPPES","snapshot_date":"2021-09-10","doc_url":"https://findmynpi.com/api"}}