Carson Legacy LLC
Carson Legacy LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Caldwell, ID, holding Type 2 (organization) NPI 1346052875 since 2025. The authorized official on file is Paige Carson, Owner.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1346052875 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Carson Legacy LLC |
| Parent organization | Carson Legacy LLC |
| Practice address | 2423 S GEORGIA AVE, Caldwell, ID, 83605 |
| Phone | 2084551788 |
| Enumeration date | 2025-01-22 |
| Last updated in NPPES | 2025-01-22 |
Authorized official
| Name | Paige Carson |
|---|---|
| Title | Owner |
| Phone | 2672293694 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861963340 | Medicaid | ID | — |
Copy-ready billing details
Provider: Carson Legacy LLC NPI: 1346052875 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 2423 S GEORGIA AVE, Caldwell, ID, 83605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740335991 | Idaho Diagnostic Sleep Lab, Inc. | Organization | Sleep Disorder Diagnostic Clinic/Center | Caldwell, ID |
| 1811338148 | Peak Recovery LLC | Organization | Addiction (Substance Use Disorder) Counselor | Caldwell, ID |
| 1407283393 | Michonne Pieksma | Individual | Addiction (Substance Use Disorder) Counselor | Caldwell, ID |
| 1861963340 | Wendy Weston | Individual | Mental Health Counselor | Caldwell, ID |
| 1326979618 | Michael Savage | Individual | Social Worker | Caldwell, ID |
Verify this record
Cross-check NPI 1346052875 against the authoritative CMS record: view Carson Legacy LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Carson Legacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-01-22.