Organization Active NPI

Legacy'S Home Care Agency LLC

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1003516170
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY'S HOME CARE AGENCY LLC
Practice address
1700 E Ash St Ste 302
Goldsboro, NC 27530-4097
Phone
(919) 429-6070
Fax
(919) 429-6071
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joi Peacock
Title
Owner
Phone
(919) 223-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1700 E Ash St Ste 302
Goldsboro, NC 27530-4097

Mailing address

1700 E Ash St Ste 302
Goldsboro, NC 27530-4097
Phone (919) 429-6070

Other names 1

  • Legacy's Home Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003516170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 302",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-429-6070",
            "fax_number": "919-429-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 302",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-429-6070",
            "fax_number": "919-429-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY'S HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-223-8743"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy's Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.