Legacy Core Health LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEGACY CORE HEALTH LLC

Practice address

9415 S Western Ave Ste 235
Chicago, IL 60643-6700

Phone

(708) 321-1233

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Josephine Ebomoyi

Title

Manager

Phone

(970) 397-8140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1255064291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 S WESTERN AVE STE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436700",
            "telephone_number": "708-321-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 S WESTERN AVE STE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436700",
            "telephone_number": "708-321-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CORE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "EBOMOYI",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-397-8140"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena M Leffew, RN, BSN
• Elaine Leflore-Jefferson, RN
• Briana Marie Leflorie, OTR/L
• Karen Lynne Lefort, PHARMD
• Legacy Connections
• Legacy Health Group LLC
• Legacy International Services Company Inc
• Legacy Transportation
• Legacy Transportation LLC
• Elena Legan, NP

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.