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Legacy Treatment Center

Substance Abuse Rehabilitation Facility in Charlotte, NC · enumerated 2013 · authorized official Angela Iacullo, Billing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053758102

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Treatment Center
Practice address 4421 Stuart Andrew Blvd, Suite 608, Charlotte, NC, 28217
Phone (561) 715-9288
Enumeration date May 30, 2013
Last updated in NPPES Jul 11, 2013

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Angela Iacullo
Title Billing Director
Phone (561) 715-9288

Other identifiers

Identifier Type State Issuer
130037 Other NC NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Legacy Treatment Center?
The NPI for Legacy Treatment Center is 1053758102, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Legacy Treatment Center?
NPPES lists Angela Iacullo (Billing Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-11.