Active NPI
Legacy Comfort Homes LLC
- Assisted Living Facility
- Scottsdale, AZ
National Provider Identifier
1316616030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | legacycomforthomesllc@gmail.com | Other | Legacy Comfort Homes LLC |
National Provider Directory
National Provider DirectoryNPI 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.