NPIMap

Organization Active NPI

Southern Legacy Home Care

  • In Home Supportive Care Agency
  • Sheffield, AL
National Provider Identifier
1356893036
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN LEGACY HOME CARE
Practice address
102 Holston Cir
Sheffield, AL 35660-6814
Phone
(205) 881-8508
Fax
(256) 768-5194
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mr. Ronnie Phil Warren Jr.
Title
Owner
Phone
(205) 441-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X AL Primary

Addresses

Primary practice location

102 Holston Cir
Sheffield, AL 35660-6814

Mailing address

102 Holston Cir
Sheffield, AL 35660-6814
Phone (205) 881-8508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1356893036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HOLSTON CIR",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606814",
            "telephone_number": "205-881-8508",
            "fax_number": "256-768-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOLSTON CIR",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606814",
            "telephone_number": "205-881-8508",
            "fax_number": "256-768-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LEGACY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-441-0966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.