Active NPI
Legacy International Services Company Inc
- Home Health Agency
- Chicago, IL
National Provider Identifier
1437188117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010302
- Legal business name
- LEGACY INTERNATIONAL SERVICES COMPANY INC
- Practice address
- 4747 W Peterson Ave
Suite 311
Chicago, IL 60646-5712 - Phone
- (708) 447-9273
- Fax
- (708) 447-9275
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Nenita T Dayagdag, M.B.A.
- Title
- VP - Treasurer
- Phone
- (708) 447-9273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010302 | IL | Primary |
Addresses
Primary practice location
4747 W Peterson Ave
Suite 311
Chicago, IL 60646-5712
Mailing address
4747 W Peterson Ave
Suite 311
Chicago, IL 60646-5712
Phone (708) 447-9273
Other names 1
- Legacy Home Healthcare Services
National Provider Directory
National Provider DirectoryLocations
4747 W Peterson Ave
Ste 311
Chicago, IL 60646
Phone (708) 447-9273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255046400000",
"number": "1437188117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 W PETERSON AVE",
"address_2": "SUITE 311",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465712",
"telephone_number": "708-447-9273",
"fax_number": "708-447-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 W PETERSON AVE",
"address_2": "SUITE 311",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465712",
"telephone_number": "708-447-9273",
"fax_number": "708-447-9275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY INTERNATIONAL SERVICES COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2009-10-09",
"status": "A",
"authorized_official_last_name": "DAYAGDAG",
"authorized_official_first_name": "MARIA NENITA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP - TREASURER",
"authorized_official_telephone_number": "708-447-9273",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Home Healthcare Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.