Individual provider Active NPI

Glenn Estacio Legaspi

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1194049619
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001605 Issued in CA
Practice address
819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075
Phone
(213) 252-8981
Fax
(213) 252-8214
NPI assigned
Mar 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001605 CA Primary

Addresses

Primary practice location

819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075

Mailing address

819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075
Phone (213) 252-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Home Health Services, Inc. Home Health Current Accepting new patients
Equicare Medical Supply, Inc. Current Accepting new patients
Renaissance Home Health Services Home Health Past Accepting new patients

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2020 Change of OwnershipThis provider was the seller Renaissance Home Health Services IncCCN 059050, CA, NPI 1528657483

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1194049619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S ALVARADO ST",
            "address_2": "STE. 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574075",
            "telephone_number": "213-252-8981",
            "fax_number": "213-252-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S ALVARADO ST",
            "address_2": "STE. 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574075",
            "telephone_number": "213-252-8981",
            "fax_number": "213-252-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "GLENN",
        "middle_name": "ESTACIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.