Organization Active NPI

Legacy Home Health Care LLC

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1154165058
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HOME HEALTH CARE LLC
Practice address
1582 S Parker Rd Ste 108
Denver, CO 80231-2715
Phone
(720) 428-8490
Fax
(720) 242-7057
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Mohamed Abdi
Title
President
Phone
(720) 428-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1582 S Parker Rd Ste 108
Denver, CO 80231-2715

Mailing address

1582 S Parker Rd Ste 108
Denver, CO 80231-2715
Phone (720) 428-8490

National Provider Directory

National Provider Directory

Locations

1582 S Parker Rd
Ste 108
Denver, CO 80231
Phone (720) 428-8490

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1154165058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 S PARKER RD STE 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312715",
            "telephone_number": "720-428-8490",
            "fax_number": "720-242-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 S PARKER RD STE 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312715",
            "telephone_number": "720-428-8490",
            "fax_number": "720-242-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-428-8490"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.