NPIMap

Organization Active NPI

Legacy of Faith Homecare, LLC

  • In Home Supportive Care Agency
  • Marianna, FL
National Provider Identifier
1528627015
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY OF FAITH HOMECARE, LLC
Practice address
4903 Blue Sky Way
Marianna, FL 32446-1864
Phone
(850) 557-7128
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Ms. Angelica WebbNPI 1972074318
Title
Owner
Phone
(850) 557-7128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

4903 Blue Sky Way
Marianna, FL 32446-1864

Mailing address

4903 Blue Sky Way
Marianna, FL 32446-1864
Phone (850) 557-7128

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL legacyoffaithllc@gmailcom Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1528627015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 BLUE SKY WAY",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461864",
            "telephone_number": "850-557-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 BLUE SKY WAY",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461864",
            "telephone_number": "850-557-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OF FAITH HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-557-7128",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacyoffaithllc@gmailcom",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4903 Blue Sky Way",
            "city": "Marianna",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324461864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.