Organization Active NPI

Legacy International Services Company Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1437188117
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010302 Issued in IL
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

Updated by the provider on Oct 9, 2009

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.