NPIMap

Organization Active NPI

Legacy of Love LLC

  • Home Health Aide
  • Gonzales, LA
National Provider Identifier
1295207330
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LEGACY OF LOVE LLC
Practice address
1058 E Worthy St Ste B
Gonzales, LA 70737-4359
Phone
(225) 258-7322
Fax
(225) 450-3799
NPI assigned
Dec 31, 2018
Last updated
Dec 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Dequan SmithNPI 1528572278
Title
Member
Phone
(225) 223-5028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

1058 E Worthy St Ste B
Gonzales, LA 70737-4359

Mailing address

1058 E Worthy St Ste B
Gonzales, LA 70737-4359
Phone (225) 258-7322

National Provider Directory

National Provider Directory

Locations

1058 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 258-7322

Practitioners & affiliated clinicians

Practitioners 3

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": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1295207330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374359",
            "telephone_number": "225-258-7322",
            "fax_number": "225-450-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374359",
            "telephone_number": "225-258-7322",
            "fax_number": "225-450-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OF LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEQUAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "225-223-5028"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.