Legacy Personal Care Services, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

LEGACY PERSONAL CARE SERVICES, LLC

Practice address

120 9TH Ave S Ste 110
Nampa, ID 83651-3824

Phone

(208) 369-6467

Fax

(208) 463-4516

NPI assigned

Jan 5, 2026

Organization subpart

No

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

Authorized official

Name

Angelita Jimenez-Martinez

Title

Owner

Phone

(208) 369-6467

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1326905167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530127",
            "telephone_number": "208-369-6467",
            "fax_number": "208-463-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 9TH AVE S STE 110",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513824",
            "telephone_number": "208-369-6467",
            "fax_number": "208-463-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-MARTINEZ",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-369-6467"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0011664",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin Elaine Lee
• Nicole Anne Bodenstab Lee, LMSW
• Paul Lee, PA
• Shawn D Lee, D.M.D.
• Legacy Charter School
• Legacy RHS, LLC
• Angel Legare, PA-C
• Terry John Legg, LPC
• Daniel Paul Lemmon
• Jorge Lemus, HEALTH COACH

• Personal Care Attendant in Nampa, ID
• Providers in Nampa, ID by specialty
• Personal Care Attendant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.