Legacy Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY HOME HEALTH, LLC

Practice address

1631 N Main St Ste B
Muskogee, OK 74401-4451

Phone

(918) 913-7028

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Adam Brent Shultz

Title

President/Ceo

Phone

(918) 348-2448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1477166445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 N MAIN ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014451",
            "telephone_number": "918-913-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 N MAIN ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014451",
            "telephone_number": "918-913-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-348-2448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn L Lee, MSW
• James Marvin Lee, PH.D.
• Patsy Denice Lee
• Sang Gang Lee, MD
• Shumee Leeworthy
• Taylor Lennon
• Charles Alan Lester, MD
• David J Lester, M.D.
• Allyssa Hope Lewis, BA
• Amy Lea Lewis

• Home Health Agency in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.