Brightmoor Healthcare DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRIGHTMOOR HEALTHCARE DME, LLC

Doing business as

Legacy Home Care, LLC

Practice address

3247 Newnan Rd
Griffin, GA 30223-7114

Phone

(678) 972-1657

Fax

(678) 688-8586

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chuck Brown

Title

Ceo

Phone

(678) 972-1642

Specialties & licenses 1

Addresses

Other names 1

• Legacy Home Care, LLC Doing business as

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1013777093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "678-972-1657",
            "fax_number": "678-688-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "678-972-1657",
            "fax_number": "678-688-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMOOR HEALTHCARE DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-972-1642"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brightmoor Physician Services LLC
• Xiaohui Zhang Brotzge
• Wendy Brower

• Durable Medical Equipment & Medical Supplies in Griffin, GA
• Providers in Griffin, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.