NPIMap

Organization Active NPI

Legacy Private Care of Tallahassee, LLC

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1174110019
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY PRIVATE CARE OF TALLAHASSEE, LLC
Practice address
2629 Old Bainbridge Rd
Tallahassee, FL 32303-3775
Phone
(185) 033-9057
NPI assigned
Dec 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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

Authorized official

Name
Wanda Duhart-Harvey
Title
Administrator/Owner
Phone
(850) 339-0575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2629 Old Bainbridge Rd
Tallahassee, FL 32303-3775

Mailing address

2629 Old Bainbridge Rd
Tallahassee, FL 32303-3775
Phone (850) 339-0575

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Direct Direct
Other URL Direct Direct
Other URL Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1174110019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 OLD BAINBRIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033775",
            "telephone_number": "850-339-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 OLD BAINBRIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033775",
            "telephone_number": "185-033-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PRIVATE CARE OF TALLAHASSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DUHART-HARVEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "850-339-0575"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2629 Old Bainbridge Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323033775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2629 Old Bainbridge Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323033775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "2629 Old Bainbridge Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323033775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.