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

Legacy House Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1811517188

Legacy House Inc is an Addiction (Substance Use Disorder) Counselor in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W 131st St Apt 10C
New York, NY 10027-2041
Phone: (646) 875-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Meals Provider Taxonomy 174200000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Assisted Living Facility Taxonomy 310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1811517188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latasha Cargo — President · (646) 875-6181
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing address200 W 131st St Apt 10c, New York, NY 10027-2041

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