NPIMap

Organization Active NPI

Legendary Healthcare, LLC

  • In Home Supportive Care Agency
  • Norfolk, NE
National Provider Identifier
1417519505
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGENDARY HEALTHCARE, LLC
Practice address
106 Suburban Dr
Norfolk, NE 68701-6720
Phone
(402) 640-8586
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Mr. Dakota R Harmon, CSCM
Title
Owner/Director
Phone
(402) 640-8586

Specialties & licenses 1

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

Addresses

Primary practice location

106 Suburban Dr
Norfolk, NE 68701-6720

Mailing address

106 Suburban Dr
Norfolk, NE 68701-6720
Phone (402) 640-8586

Other names 1

  • Improved Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1417519505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SUBURBAN DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016720",
            "telephone_number": "402-640-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SUBURBAN DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016720",
            "telephone_number": "402-640-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "402-640-8586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Improved Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Improved Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.