Organization Active NPI

Legacy One Care Inc.

  • In Home Supportive Care Agency
  • Fairview Park, OH
National Provider Identifier
1245833060
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY ONE CARE INC.
Practice address
21300 Lorain Rd Ste 4
Fairview Park, OH 44126-2160
Phone
(440) 568-0442
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Fred WhiteNPI 1093317927
Title
Ceo
Phone
(440) 568-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

21300 Lorain Rd Ste 4
Fairview Park, OH 44126-2160

Mailing address

21300 Lorain Rd Ste 4
Fairview Park, OH 44126-2160
Phone (440) 568-0042

National Provider Directory

National Provider Directory

Locations

21300 Lorain Rd
Ste 4
Fairview Park, OH 44126
Phone (216) 556-4020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1245833060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 LORAIN RD STE 4",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262160",
            "telephone_number": "440-568-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 LORAIN RD STE 4",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262160",
            "telephone_number": "440-568-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ONE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-568-0442"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.