Legacy Homecare Plus Unlimited, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

058142 Issued in CA

Legal business name

LEGACY HOMECARE PLUS UNLIMITED, INC.

Doing business as

Alta Vista Health Services

Practice address

1840 N Hacienda Blvd
#11
La Puente, CA 91744-1143

Phone

(626) 918-2868

Fax

(626) 918-6878

NPI assigned

Jul 26, 2005

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jojette Suguitan, RN

Title

Assistant Administrator

Phone

(626) 918-2868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALTA VISTA HEALTH SERVICES Doing business as

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1346240850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD",
            "address_2": "#11",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-918-2868",
            "fax_number": "626-918-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD",
            "address_2": "#11",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-918-2868",
            "fax_number": "626-918-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOMECARE PLUS UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "SUGUITAN",
        "authorized_official_first_name": "JOJETTE",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "626-918-2868",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08142F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA VISTA HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in La Puente, CA
• Providers in La Puente, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.