Legacy Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000007123 Issued in TN

Legal business name

LEGACY HOME CARE, LLC

Practice address

207 E Main St
Suite 2-J
Johnson City, TN 37604-5747

Phone

(423) 631-0075

Fax

(423) 631-0079

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Pamela L Lancaster, BSW

Title

President

Phone

(423) 631-0075

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1134437387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E MAIN ST",
            "address_2": "SUITE 2-J",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045747",
            "telephone_number": "423-631-0075",
            "fax_number": "423-631-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MAIN ST",
            "address_2": "SUITE 2-J",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045747",
            "telephone_number": "423-631-0075",
            "fax_number": "423-631-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-631-0075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000007123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "4259471",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "A3760400",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel J Lee, MD
• William Luke Lee, MD
• Kiley Marie Leedy, DPT
• Melissa Marie Lefevers, BS
• Jillian Leffew
• Legacy Vein Center PLLC
• Victoria Lynne Legg
• Stuart S Leicht, M.D.
• Leighton W Wood DDS, M.S., PC
• Dylan Leitnaker, OTR/L

• In Home Supportive Care Agency in Johnson City, TN
• Providers in Johnson City, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.