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Legends Park LLC

Assisted Living Facility in Coeur D Alene, ID · enumerated 2007 · authorized official Gregory Vislocky, Managing Member.

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

National Provider Identifier

1154458354

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Registry record

Entity type Organization (Type 2)
Legal business name Legends Park LLC
Other name <Unavail>
Practice address 1820 W Golf Course Rd, Coeur D Alene, ID, 83815
Phone (208) 666-9900
Fax (208) 765-6587
Enumeration date Feb 27, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License RC 548 (ID) Primary

Authorized official

Name Gregory Vislocky
Title Managing Member
Phone (360) 735-7155

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 Legends Park LLC?
The NPI for Legends Park LLC is 1154458354, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Legends Park LLC?
NPPES lists Gregory Vislocky (Managing Member) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.