Organization Active NPI

The Legacy Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1386371003
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE LEGACY HOME HEALTH LLC
Practice address
2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605
Phone
(725) 205-0575
Fax
(725) 205-1261
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Angelita Genuino Bulda, RN
Title
Owner/President/DPCS
Phone
(402) 321-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605

Mailing address

2725 S Jones Blvd Ste 109
Las Vegas, NV 89146-5605
Phone (725) 205-0575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1386371003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "725-205-0575",
            "fax_number": "725-205-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605",
            "telephone_number": "725-205-0575",
            "fax_number": "725-205-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "GENUINO BULDA",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DPCS",
        "authorized_official_telephone_number": "402-321-1143",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.