Legacy of Love Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY OF LOVE AGENCY

Practice address

3718 Liberty Square TRL
Fresno, TX 77545-8814

Phone

(409) 673-2692

NPI assigned

May 13, 2021

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrance Joseph Powell

Title

Owner

Phone

(281) 389-3898

Specialties & licenses 1

Addresses

Other names 1

• Legacy of Love Agency Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1598339780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VERMONT ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777055435",
            "telephone_number": "281-389-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 LIBERTY SQUARE TRL",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458814",
            "telephone_number": "409-673-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OF LOVE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-10-17",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-389-3898"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3718 Liberty Square Trl",
            "city": "Fresno",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775458814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legacy of Love Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Legacy of Love Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.