NPIMap

Organization Active NPI

Legacy RHS, LLC

  • In Home Supportive Care Agency
  • Nampa, ID
National Provider Identifier
1013569003
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY RHS, LLC
Practice address
16663 Woodduck St
Nampa, ID 83687-8296
Phone
(208) 369-6467
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Angelita Martinez, BA, QIDP
Title
Administrator/Owner
Phone
(208) 369-6467

Specialties & licenses 1

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

Addresses

Primary practice location

16663 Woodduck St
Nampa, ID 83687-8296

Mailing address

16663 Woodduck St
Nampa, ID 83687-8296
Phone (208) 369-6467

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1013569003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16663 WOODDUCK ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878296",
            "telephone_number": "208-369-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16663 WOODDUCK ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878296",
            "telephone_number": "208-369-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "208-369-6467",
        "authorized_official_credential": "BA, QIDP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.