NPIMap

Organization Active NPI

Legacy Home Care Agency

  • Home Health Agency
  • Oxford, NC
National Provider Identifier
1316144397
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3574 Issued in NC
Legal business name
LEGACY HOME CARE AGENCY
Practice address
615B Lewis Street
Suite 106
Oxford, NC 27565-3523
Phone
(919) 693-1067
Fax
(919) 693-1067
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Ms. Tracy Haskins
Title
Director
Phone
(919) 693-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3574 NC Primary

Addresses

Primary practice location

615B Lewis Street
Suite 106
Oxford, NC 27565-3523

Mailing address

PO Box 1814
Oxford, NC 27565-1814
Phone (919) 693-1067

Other identifiers 1

IdentifierTypeStateIssuer
3418335MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Legacy Home Care Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1316144397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1814",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275651814",
            "telephone_number": "919-693-1067",
            "fax_number": "919-693-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615B LEWIS STREET",
            "address_2": "SUITE 106",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653523",
            "telephone_number": "919-693-1067",
            "fax_number": "919-693-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-693-1067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.