Legacy1864, LLC
Legacy1864, LLC is a healthcare organization registered as Assisted Living Facility in Spokane, WA, holding Type 2 (organization) NPI 1407735095 since 2025. The authorized official on file is Ryan Knudson, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407735095 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Legacy1864, LLC |
| Practice address | 1620 E MEAD ST, Spokane, WA, 99218 |
| Phone | 5094671135 |
| Fax | 5094687906 |
| Enumeration date | 2025-08-28 |
| Last updated in NPPES | 2026-05-27 |
Authorized official
| Name | Ryan Knudson |
|---|---|
| Title | Ceo/President |
| Phone | 5099546919 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | Secondary | — | — |
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: Legacy1864, LLC NPI: 1407735095 Taxonomy: 310400000X (Assisted Living Facility) Address: 1620 E MEAD ST, Spokane, WA, 99218
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073069514 | Willow Grove, Inc. | Organization | Assisted Living Facility | Spokane, WA |
Verify this record
Cross-check NPI 1407735095 against the authoritative CMS record: view Legacy1864, 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
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Where is Legacy1864, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-27.