Organization Active NPI

Legacy Hospice Care, LLC

Doing business as Legacy home health and hospice

  • Community Based Hospice Care Agency
  • Meridian, ID
National Provider Identifier
1104823038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY HOSPICE CARE, LLC
Doing business as
Legacy home health and hospice
Practice address
680 S Progress Ave
Suite 2a
Meridian, ID 83642-2957
Phone
(208) 895-8686
Fax
(208) 895-8975
NPI assigned
Jul 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christie Lynn Roach, R.N.
Title
Administrator
Phone
(208) 895-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X ID Primary

Addresses

Primary practice location

680 S Progress Ave
Suite 2a
Meridian, ID 83642-2957

Mailing address

680 S Progress Ave
Suite 2a
Meridian, ID 83642-2958
Phone (208) 895-8686

Other names 1

  • Legacy home health and hospice Doing business as

National Provider Directory

National Provider Directory

Locations

680 S Progress Ave
#7
Meridian, ID 83642
Phone (208) 888-3669

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104823038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S PROGRESS AVE",
            "address_2": "SUITE 2A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422958",
            "telephone_number": "208-895-8686",
            "fax_number": "208-895-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S PROGRESS AVE",
            "address_2": "SUITE 2A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422957",
            "telephone_number": "208-895-8686",
            "fax_number": "208-895-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-895-8686",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy home health and hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.