LEGACY HEALTH CARE, INC. (NPI# 1831196328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831196328 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTH CARE, INC. |
| Other Organization Name | LEGACY HEALTHCARE |
| Practice Address |
3135 N Fairfield Rd Layton UT 84041-8832 |
| Practice Telephone | 8017719099 |
| Practice Fax Number | 8017710200 |
| Mailing Telephone | 8017719099 |
| Mailing Fax Number | 8017710200 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | KEITH G GORDON (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 8017719099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2005-HOSPICE-558 | UT | Agencies |
| Other Name | Type Code |
|---|---|
| Legacy HealthCare | Other Name - Individual/Organization |
| Street Address |
3135 N FAIRFIELD RD |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-8832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952417214 | Legacy Healthcare, Inc. | Home Health | 3135 N Fairfield Rd, Suite A, Layton, UT 84041-8832 | 2006-08-21 |
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|---|---|---|---|---|
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| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
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| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1437270568 | Dignity Hospice - Dav, LLC | Hospice Care, Community Based | 327 Gordon Ave, #3, Layton, UT 84041 | 2007-04-03 |
| 1144201203 | Horizon Hospice LLC | Hospice Care, Community Based | 1133 N Main St, Layton, UT 84041-4800 | 2005-11-07 |
| 1770585143 | Comfort Hospice Care, LLC | Hospice Care, Community Based | 124 S Fairfield Rd, Suite B, Layton, UT 84041-7105 | 2005-08-15 |
| 1396746095 | Caring Hands Hospice | Hospice Care, Community Based | 3579 N 2175 E, Layton, UT 84040-2427 | 2005-08-03 |
| 1417248147 | Silver Lake Healthcare, Inc. | Hospice Care, Community Based | 1916 N 700 W Ste 110, Layton, UT 84041-5754 | 2011-04-28 |
| 1669780250 | Afi Hospice LLC | Hospice Care, Community Based | 1133 N Main St Ste 300, Layton, UT 84041-4800 | 2010-09-17 |
| 1366696148 | Peregrine Hospice LLC | Hospice Care, Community Based | 920 Heritage Park Blvd, Ste 120, Layton, UT 84041-5638 | 2008-11-06 |
| 1033382510 | Mountain Valley | Hospice Care, Community Based | 920 Heritage Park Blvd, Suite 120, Layton, UT 84041-5638 | 2008-04-07 |
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| 1275091498 | Sierra Hospice, LLC | Hospice Care, Community Based | 1173 S 250 W Ste 507a, St George, UT 84770-6392 | 2019-03-06 |
| 1023572971 | Suncrest Hospice Utah LLC | Hospice Care, Community Based | 1275 E Fort Union Blvd Ste 210, Midvale, UT 84047-1885 | 2019-01-24 |
| 1053882506 | Aim Health Management | Hospice Care, Community Based | 3818 W 5400 S, Taylorsville, UT 84129-3561 | 2018-12-10 |
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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.