LEGACY HOME CARE LC (NPI# 1952459372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952459372 |
| Entity Type | Organization |
| Organization Name | LEGACY HOME CARE LC |
| Other Organization Name | LEGACY HOME HEALTH CARE |
| Practice Address |
680 S Progress Ave Suite 2a Meridian ID 83642-2957 |
| Practice Telephone | 2088883669 |
| Practice Fax Number | 2088883675 |
| Mailing Telephone | 2088883669 |
| Mailing Fax Number | 2088883675 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MR. ROGER WAYDE SONDRUP (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 2088883669 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HH-224 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806775 | 05 |
| Other Name | Type Code |
|---|---|
| Legacy Home Health Care | Doing Business As Name - Organization |
| Street Address |
680 S PROGRESS AVE SUITE 2A |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823038 | Legacy Hospice Care, LLC | Hospice Care, Community Based | 680 S Progress Ave, Suite 2a, Meridian, ID 83642-2957 | 2005-07-07 |
| 1568780013 | Legacy Hospice II, LLC | Hospice Care, Community Based | 680 S Progress Ave, Suite 2a, Meridian, ID 83642 | 2010-05-07 |
| 1922326479 | Legacy Home Care II, LLC | Home Health | 680 S Progress Ave, Ste 2a, Meridian, ID 83642-2957 | 2010-05-07 |
| 1619975968 | Judy Lynn Troyer | Physical Therapist | 680 S Progress Ave, Meridian, ID 83642-2957 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1568025674 | Terrace Home Health Boise LLC | Home Health | 2929 W Navigator Dr Ste 120, Meridian, ID 83642-7553 | 2019-04-16 |
| 1962962159 | Lhsc LLC | Home Health | 1510 E Watertower St Ste 100, Meridian, ID 83642-7993 | 2019-03-22 |
| 1275039562 | Karen Griffin | Home Health | 2120 4th St Ste 207, Meridian, MS 39301-5102 | 2018-04-04 |
| 1518462555 | Healthy Living At Home-boise, LLC. | Home Health | 2950 E Magic View Dr Ste 150, Meridian, ID 83642-6253 | 2018-03-29 |
| 1104341817 | Alpha Home Health | Home Health | 335 E Moskee St, Meridian, ID 83646-1928 | 2017-08-03 |
| 1265822589 | Angels Home Careservices | Home Health | 3523 33rd St, Meridian, MS 39307-4502 | 2015-01-24 |
| 1063756781 | Hytech Repair Inc. | Home Health | 995 E Leighfield Dr, Meridian, ID 83646-1767 | 2012-11-19 |
| 1558660027 | Providence Nursing Services | Home Health | 1008 W Honker Dr, Meridian, ID 83642-7735 | 2011-03-22 |
| 1629372040 | Touchmark At Meadow Lake Village, LLC | Home Health | 625 S Arbor Ln, Meridian, ID 83642-3025 | 2010-12-28 |
| 1972825321 | Touch of Grace | Home Health | 534 Pippins Rd, Meridian, MS 39301-9567 | 2010-02-25 |
| Find all providers in MERIDIAN | ||||
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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.