Legacy Nursing Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3407 Issued in NM

Legal business name

LEGACY NURSING SERVICES LLC

Practice address

617 N 1St St
Grants, NM 87020-2703

Phone

(505) 287-5601

Fax

(505) 287-9343

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Tracy Sandoval-Jones, RN

Title

Administrator/Don

Phone

(505) 287-5601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1306276092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 1ST ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202703",
            "telephone_number": "505-287-5601",
            "fax_number": "505-287-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 1ST ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202703",
            "telephone_number": "505-287-5601",
            "fax_number": "505-287-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL-JONES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "505-287-5601",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grants, NM
• Providers in Grants, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.