NPI age
2 years
Enumerated 2023-05-25
● Active Type 2 · Organization
Legacy Village Hq, Llc
Legacy Village Hq, Llc is 1 of 36 substance abuse rehabilitation facility organizations in Idaho.
Primary specialty
Substance Abuse Rehabilitation Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Farmer
Chief Executive Officer
Last NPPES update
2023-05-25
Source: monthly bulk 2026-05
How this organization compares
Across 36 active substance abuse rehabilitation facility providers in Idaho.
NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-05Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
800 W Main St Ste 1460
Boise, ID 837025983
Mailing address
800 W Main St Ste 1460
Boise, ID 837025983
Authorized official
Dennis Scott Farmer
Chief Executive Officer
📞 8009976977
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jenni Jensen, ARNP-C Nurse Practitioner NPI 1285226084
- Jeremy Sloyer, FNP-BC Nurse Practitioner NPI 1801175484
- Danielle Wayne, LCSW, LISW Counselor NPI 1225566169
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.