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

Legacy1864, LLC

Organization Assisted Living Facility · NPI 1407735095

Legacy1864, LLC is an Assisted Living Facility in Spokane, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1620 E Mead St
Spokane, WA 99218-1772
Phone: (509) 467-1135
Fax: (509) 468-7906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X

Record details

NPI number1407735095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Knudson — Ceo/President · (509) 954-6919
Other names Willow Grove
NPI enumeratedAugust 28, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing addressPo Box 1438, Mead, WA 99021-1438

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