LEGACY HEALTHCARE SERVICES INC (NPI# 1386187227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386187227 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES INC |
| Practice Address |
300 W Hargett St Unit 714 Raleigh NC 27601-1591 |
| Practice Telephone | 4342505112 |
| Mailing Telephone | 4342505112 |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2016-11-27 |
| Authorized Official Name | ROBIN MARIE PETTIGREW (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 4342505112 |
| Authorized Official Credential | M.ED. CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 9883 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454558 | Legacy Healthcare Services Inc | Occupational Therapist | 8458 Gleason Dr, Knoxville, TN 37919-5482 | 2020-07-14 |
| 1366063000 | Legacy Healthcare Services Inc | Occupational Therapist | 190 River Park Dr, Little River, SC 29566-6844 | 2020-05-05 |
| 1942829064 | Legacy Healthcare Services Inc | Speech-Language Pathologist | 4471 Sheffield Pl, Bay City, MI 48706-2564 | 2020-04-09 |
| 1063044519 | Legacy Healthcare Services Inc | Occupational Therapist | 5011 Las Soleras Dr, Santa Fe, NM 87507-2100 | 2020-02-12 |
| 1962033613 | Legacy Healthcare Services Inc | Occupational Therapist | 42015 N Venture Dr, Anthem, AZ 85086-3300 | 2020-01-31 |
| 1336770221 | Legacy Healthcare Services Inc | Occupational Therapist | 1601 W Queen Creek Rd, Chandler, AZ 85248-0899 | 2020-01-29 |
| 1174153266 | Legacy Healthcare Services Inc | Occupational Therapist | 7047 Hamilton Mason Rd, West Chester, OH 45069-1424 | 2020-01-17 |
| 1740820828 | Legacy Healthcare Services Inc | Occupational Therapist | 3365 Ogden Rd, Roanoke, VA 24018-1151 | 2020-01-07 |
| 1972147528 | Legacy Healthcare Services Inc | Occupational Therapist | 3500 Fairview St, Bethlehem, PA 18017-8978 | 2019-11-06 |
| 1942842919 | Legacy Healthcare Services Inc | Occupational Therapist | 519 Perkins Rd, Palmetto, GA 30268-2374 | 2019-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | LEGACY HEALTHCARE SERVICES INC. | 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Legacy HealthCare Services Inc. | 3001 Spring Forest Rd, Raleigh, North Carolina 27616 |
| Street Address |
300 W HARGETT ST UNIT 714 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-1591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1871107680 | Divine Grace Home Care | In Home Supportive Care | 5633 Quitman Trl, Raleigh, NC 27610-6475 | 2020-08-31 |
| 1518570514 | Orich Home Care LLC | In Home Supportive Care | 2609 Atlantic Ave Ste 201b, Raleigh, NC 27604-1550 | 2020-08-28 |
| 1659982031 | Stanley Okezie Onyeabo | In Home Supportive Care | 2421 Timber Dr Ste 211, Raleigh, NC 27604-2265 | 2020-08-11 |
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1619585965 | Heart To Homes Health Care | In Home Supportive Care | 2801 Spring Forest Rd, Raleigh, NC 27616-1901 | 2020-07-22 |
| 1518584283 | Ever Green Choice Care Services Ins | In Home Supportive Care | 4010 Taylor Oaks Dr, Raleigh, NC 27616-8845 | 2020-06-29 |
| 1407473291 | Caring and Loving Homecare Inc | In Home Supportive Care | 5404 Hillsborough St Ste A, Raleigh, NC 27606-1339 | 2020-06-29 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.