Legacy Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY HOME HEALTHCARE, LLC

Practice address

3607 Crossings Dr
Suite a
Prescott, AZ 86305-7149

Phone

(928) 443-9331

Fax

(928) 443-9332

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Shelly L Peterson

Title

Administrator

Phone

(928) 443-9331

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467536151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 CROSSINGS DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057149",
            "telephone_number": "928-443-9331",
            "fax_number": "928-443-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 CROSSINGS DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057149",
            "telephone_number": "928-443-9331",
            "fax_number": "928-443-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-443-9331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Sue Lee-Roeder, N.P.
• Eunjin Lee, MD
• Mary B Lee
• Michael B Lee, DDS. MS
• Priscilla Lee, O.D.
• Christopher Cox Legler, PT
• Keturah Legler, CPNP
• Martin Joseph Leidinger, M.D.
• Raymond Walter Lemberg, PHD
• Sally Ann Lemberg, MSW

• All providers in Prescott, AZ
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.