Organization Active NPI

Legendary in-Home Services

  • Home Health Agency
  • Pontiac, MI
National Provider Identifier
1265910038
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGENDARY IN-HOME SERVICES
Practice address
269 Charles LN
Pontiac, MI 48341-2930
Phone
(313) 757-1843
NPI assigned
Aug 2, 2018
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Tenesia German
Title
President
Phone
(678) 618-7932

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Home Health Aide 374U00000X MI
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

269 Charles LN
Pontiac, MI 48341-2930

Mailing address

269 Charles LN
Pontiac, MI 48341-2930
Phone (313) 757-1843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1265910038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CHARLES LN",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412930",
            "telephone_number": "313-757-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CHARLES LN",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412930",
            "telephone_number": "313-757-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY IN-HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "GERMAN",
        "authorized_official_first_name": "TENESIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-618-7932"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.