Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Healthcare Advantage LLC

Organization Case Management Agency · NPI 1568974863

Legacy Healthcare Advantage LLC is a Case Management Agency in Spartanburg, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
13
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

371 E Henry St
Spartanburg, SC 29302-2607
Phone: (864) 431-4273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Nursing Care Agency Taxonomy 251J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Clinical Medical Laboratory Taxonomy 291U00000X
Health Maintenance Organization Taxonomy 302R00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Respite Care Taxonomy 385H00000X
Child Mental Illness Respite Care Taxonomy 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Child Physical Disabilities Respite Care Taxonomy 385HR2065X

Record details

NPI number1568974863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cortella Wilkes — Owner · (864) 308-8712
NPI enumeratedOctober 26, 2017
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address531 Meadowseed Ct, Lyman, SC 29365-1357

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