Organization Active NPI

Legacy Homecare Services, LLC

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1053917732
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY HOMECARE SERVICES, LLC
Practice address
3326 Guess Rd Ste 106
Durham, NC 27705-2160
Phone
(919) 479-4014
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Juantia Applewhite, NURSE PRACTITIONERNPI 1598326456
Title
Director
Phone
(919) 599-9019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3326 Guess Rd Ste 106
Durham, NC 27705-2160

Mailing address

PO Box 62082
Durham, NC 27715-2082

National Provider Directory

National Provider Directory

Locations

3326 Guess Rd
Ste 106
Durham, NC 27705
Phone (919) 479-4014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1053917732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62082",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 GUESS RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052160",
            "telephone_number": "919-479-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "APPLEWHITE",
        "authorized_official_first_name": "JUANTIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-599-9019",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.