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

Legacy Human Services, Inc

Organization Community/Behavioral Health Agency · NPI 1790954576

Legacy Human Services, Inc is a Community/Behavioral Health Agency in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
3
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

1642 Graham Ave Graham Avenue Group Home
Henderson, NC 27536-2914
Phone: (252) 492-9545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence MHL-091-060 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence MHL-091-060 (NC)

Record details

NPI number1790954576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacinta Johnson — Executive Director · (252) 438-6700
NPI enumeratedFebruary 26, 2008
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing addressPo Box 88, Henderson, NC 27536-0088

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