Organization Active NPI

Legacy Comfort Homes LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1316616030
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACY COMFORT HOMES LLC
Practice address
12802 N 57TH St
Scottsdale, AZ 85254-4304
Phone
(509) 228-2735
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Andereya Bibutsuhoze
Title
Manager
Phone
(509) 228-2735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12802 N 57TH St
Scottsdale, AZ 85254-4304

Mailing address

12802 N 57TH St
Scottsdale, AZ 85254-4304
Phone (509) 228-2735

Other practice location 1

13809 N 57th St
Scottsdale, AZ 85254-3013
Phone (509) 228-2735

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL legacycomforthomesllc@gmail.com Other Legacy Comfort Homes LLC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1316616030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 N 57TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544304",
            "telephone_number": "509-228-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 N 57TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544304",
            "telephone_number": "509-228-2735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13809 N 57th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852543013",
            "country_code": "US",
            "telephone_number": "509-228-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY COMFORT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BIBUTSUHOZE",
        "authorized_official_first_name": "ANDEREYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-228-2735"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacycomforthomesllc@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Legacy Comfort Homes LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "legacycomforthomesllc@gmail.com",
            "address_1": "13809 N 57th St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852543013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.