Organization Active NPI

Legacy Support Services, LLC

  • Home Health Aide
  • Pickerington, OH
National Provider Identifier
1164276473
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LEGACY SUPPORT SERVICES, LLC
Practice address
12927 Stonecreek Dr Ste H
Pickerington, OH 43147-7001
Phone
(614) 402-7098
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Moneca Robinson
Title
Administrator
Phone
(614) 402-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

12927 Stonecreek Dr Ste H
Pickerington, OH 43147-7001

Mailing address

12927 Stonecreek Dr Ste H
Pickerington, OH 43147-7001
Phone (614) 402-7098

National Provider Directory

National Provider Directory

Locations

12927 Stonecreek Dr
Ste H
Pickerington, OH 43147
Phone (614) 402-7098

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1164276473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 STONECREEK DR STE H",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477001",
            "telephone_number": "614-402-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 STONECREEK DR STE H",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477001",
            "telephone_number": "614-402-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MONECA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-402-7098"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.