Legendary Medical Staffing LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

LEGENDARY MEDICAL STAFFING LLC

Practice address

9080 Barbee LN Ste 104B
Knoxville, TN 37923-6256

Phone

(865) 226-9679

Fax

(865) 273-0266

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Heather White, RN

Title

Ceo

Phone

(865) 226-9679

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1508579988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 BARBEE LN STE 104B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236256",
            "telephone_number": "865-226-9679",
            "fax_number": "865-273-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 BARBEE LN STE 104B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236256",
            "telephone_number": "865-226-9679",
            "fax_number": "865-273-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-226-9679",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q078910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Healthcare Services Inc
• Legacy Place Recovery, LLC
• Legacy Tele-Healthcare, LLC
• Legacy Vein Center PLLC
• Sandra Legeman
• Elizabeth Marie Leggett
• Wanda Collins Legrande, RN
• Linda Hardin Leigh-Bell, CRNA
• Addison Clay Leinart, PA-C
• Jessica Kaitlyn Leinart, LCSW

• Personal Care Attendant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Personal Care Attendant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.