Active NPI
Legacy Oxygen and Home Care Equipment LLC
- Oxygen Equipment & Supplies (DME)
- Marion, KY
National Provider Identifier
1306290697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC
- Practice address
- 707 S Main St
Marion, KY 42064-1807 - Phone
- (270) 442-7887
- Fax
- (270) 442-7897
- NPI assigned
- Apr 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Greg Crawford
- Title
- Authorized Official
- Phone
- (859) 441-8876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
707 S Main St
Marion, KY 42064-1807
Mailing address
1019 Town Dr
Highland Heights, KY 41076-9114
Phone (270) 442-7887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170602002048 | KY | DME Supplier - Medical Supply Company | 0840491718 | Practice locations: Marion, KY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Oxygen Equipment & Supplies (DME)
- Madisonville, KY
- NPI 1467066225
0840491718
-
- Oxygen Equipment & Supplies (DME)
- Paducah, KY
- NPI 1588695795
0840491718
-
- Oxygen Equipment & Supplies (DME)
- Murray, KY
- NPI 1598808727
0840491718
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Legacy Oxygen | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Oxygen and Home Care Equipment LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Madisonville, KY
- NPI 1467066225
-
- Oxygen Equipment & Supplies (DME)
- Paducah, KY
- NPI 1588695795
-
- Oxygen Equipment & Supplies (DME)
- Murray, KY
- NPI 1598808727
Locations
116 E Bellville St
Marion, KY 42064
206 Sturgis Rd
Marion, KY 42064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1306290697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 TOWN DR",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410769114",
"telephone_number": "270-442-7887",
"fax_number": "270-442-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S MAIN ST",
"city": "MARION",
"state": "KY",
"postal_code": "420641807",
"telephone_number": "270-442-7887",
"fax_number": "270-442-7897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "859-441-8876",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, KY
- Robert Joseph Jones, PA-C
- KB Pharmacy
- Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06383)
- Kentucky Surgical & Wound Services PSC
- Kingdom Health PLLC
- Livingston Hospital and Healthcare Services, Inc. (Livingston Health Clinic)
- Livingston Hospital and Healthcare Services, Inc. (Livingston Hospital Family Clinic)
- Livingston Hospital and Healthcare Services, Inc., Cah (Marion Physician's Clinic)
- Bethaney Denise Long, LCSW
- Vicki D Lynn, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.