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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Kayla Leer, DPT
- Elizabeth Lefevre
- Thomas Leftwich
- Legacy Home Care II, LLC (Compassus Home Health Boise ID)
- Legacy Home Care LC (Legacy Home Health Care)
- Legacy Hospice II, LLC (Compassus Hospital Boise)
- Legacy Primary Care, LLC
- Legacy Smiles Family Dental, PLLC
- Jeremiah S Legg, LCSW
- Legion Medical LLC (Embrace Psychiatry)
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.