Organization Active NPI

Legacy Group Homes Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1205376084
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
137424 Issued in OH
Legal business name
LEGACY GROUP HOMES SERVICES LLC
Practice address
2485 Joyce Ave
Columbus, OH 43211-1880
Phone
(614) 592-3382
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Miss Funmilayo Roseline Aimila, LPN
Title
Ceo
Phone
(614) 592-3382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 137424 OH Primary

Addresses

Primary practice location

2485 Joyce Ave
Columbus, OH 43211-1880

Mailing address

2485 Joyce Ave
Columbus, OH 43211-1880
Phone (614) 592-3382

Other names 1

  • Legacy group homes services LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1205376084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 JOYCE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111880",
            "telephone_number": "614-592-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 JOYCE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111880",
            "telephone_number": "614-592-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY GROUP HOMES SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "AIMILA",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_middle_name": "ROSELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-592-3382",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "137424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy group homes services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.