Blue Legacy Support Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLUE LEGACY SUPPORT INC

Practice address

2598 E Sunrise Blvd Ste 2104
Fort Lauderdale, FL 33304-3230

Phone

(954) 723-5422

Fax

(954) 723-5401

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Seth Clark

Title

President

Phone

(954) 723-5480

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care North Fort Lauderdale FL Doing business as

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1104783315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230",
            "telephone_number": "954-723-5422",
            "fax_number": "954-723-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230",
            "telephone_number": "954-723-5422",
            "fax_number": "954-723-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LEGACY SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-723-5480"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care North Fort Lauderdale FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.