NPIMap

Organization Active NPI

Legacy Healthcare Services Inc

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1386187227
Registry record updated Nov 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
9883 Issued in NC
Legal business name
LEGACY HEALTHCARE SERVICES INC
Practice address
300 W Hargett St
Unit 714
Raleigh, NC 27601-1591
Phone
(434) 250-5112
NPI assigned
Nov 27, 2016
Last updated
Nov 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2016

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

Authorized official

Name
Robin Marie Pettigrew, M.ED. CCC-SLPNPI 1053847798
Title
Speech Language Pathologist
Phone
(434) 250-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 9883 NC Primary

Addresses

Primary practice location

300 W Hargett St
Unit 714
Raleigh, NC 27601-1591

Mailing address

300 W Hargett St
Unit 714
Raleigh, NC 27601-1591
Phone (434) 250-5112

National Provider Directory

National Provider Directory
Tax ID family
Legacy Healthcare Services61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480204800000",
    "number": "1386187227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HARGETT ST",
            "address_2": "UNIT 714",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011591",
            "telephone_number": "434-250-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HARGETT ST",
            "address_2": "UNIT 714",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011591",
            "telephone_number": "434-250-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "434-250-5112",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "9883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.