Active NPI
Legacy Home Health Care of Southern Arizona, LLC
- Home Health Agency
- Safford, AZ
National Provider Identifier
1447635289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA7638
- Legal business name
- LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
- Doing business as
- Legacy Home Health Care - Grahame County
- Practice address
- 1491 W Thatcher Blvd
Suite 104
Safford, AZ 85546-3362 - Phone
- (520) 335-6118
- Fax
- (888) 504-1425
- NPI assigned
- Jul 22, 2015
- Organization subpart
- Yes
- Parent organization
- LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Maillard, MBA
- Title
- Owner
- Phone
- (928) 632-2373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA7638 | AZ | Primary |
Addresses
Primary practice location
1491 W Thatcher Blvd
Suite 104
Safford, AZ 85546-3362
Mailing address
4996 E Mediterranean Dr
Ste D
Sierra Vista, AZ 85635-2435
Phone (520) 335-6118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA7638 | Other | AZ | STATE HOME HEALTH CARE LICENSE |
Other names 1
- Legacy Home Health Care - Grahame County
National Provider Directory
National Provider Directory- Part of
- Legacy Home Health Care of Southern Arizona LLC
Locations
1700 S Highway 92
Sierra Vista, AZ 85635
Phone (520) 335-6118
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Sierra Vista, AZ
- NPI 1770817256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485216000000",
"number": "1447635289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4996 E MEDITERRANEAN DR",
"address_2": "STE D",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352435",
"telephone_number": "520-335-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 W THATCHER BLVD",
"address_2": "SUITE 104",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463362",
"telephone_number": "520-335-6118",
"fax_number": "888-504-1425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC",
"enumeration_date": "2015-07-22",
"last_updated": "2017-01-24",
"status": "A",
"authorized_official_last_name": "MAILLARD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-632-2373",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA7638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HOME HEALTH CARE LICENSE",
"identifier": "HHA7638",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Home Health Care - Grahame County",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.