LEGACY HOME HEALTH, LLC (NPI# 1477166445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477166445 |
| Entity Type | Organization |
| Organization Name | LEGACY HOME HEALTH, LLC |
| Practice Address |
1631 N Main St Ste B Muskogee OK 74401-4451 |
| Practice Telephone | 9189137028 |
| Mailing Telephone | 9189137028 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MR. ADAM BRENT SHULTZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 9183482448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952876245 | Legacy Home Health, LLC | Home Health | 140 N 100 E, American Fork, UT 84003-1735 | 2018-10-12 |
| 1942787270 | Legacy Home Health, LLC | Home Health | 146 N San Fernando Blvd Ste 220, Burbank, CA 91502-1230 | 2018-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Legacy Home Health, LLC | 1942 Broadway St. Ste 314c, Boulder, CO 80302 |
| Street Address |
1631 N MAIN ST STE B |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134505332 | Summit Properties-muskogee, LLC | Home Health | 351 S 33rd St, Muskogee, OK 74401-5037 | 2015-08-11 |
| 1841415254 | Sooner Health Services II, Inc | Home Health | 928 N York, Suite 38, Muskogee, OK 74403-3117 | 2007-04-13 |
| 1427187038 | Housecalls Home Health Services, Inc. | Home Health | 3107 Azalea Park Dr, Muskogee, OK 74401-2284 | 2007-03-02 |
| 1114938891 | Outreach Home Services, L.L.C. | Home Health | 2303 S York St, Muskogee, OK 74403-8876 | 2006-08-10 |
| 1891743563 | Arnica Therapy Services, LLC | Home Health | 340 S 33rd St, Muskogee, OK 74401-5036 | 2006-05-05 |
| 1770557910 | Restore Home Healthcare of Oklahoma,llc | Home Health | 124 S 4th St, Muskogee, OK 74401-7013 | 2006-02-15 |
| 1306826698 | Continental Home Care, LLC | Home Health | 111 S York St, Muskogee, OK 74403-5952 | 2006-01-20 |
| 1942287339 | Mdr Health Group LLC | Home Health | 1624 W Okmulgee St, Muskogee, OK 74401-6743 | 2005-12-27 |
| 1558716084 | Ok4 Home Health Agency LLC | Home Health | 2303 S York St, Muskogee, OK 74403-8876 | 2016-05-03 |
| 1417099409 | Muskogee Regional Medical Center LLC | Home Health | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-02-13 |
| Find all providers in MUSKOGEE | ||||
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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.