Active NPI
Legendz Enterprize LLC
- Transportation Broker
- Hilliard, OH
National Provider Identifier
1598542425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- LEGENDZ ENTERPRIZE LLC
- Practice address
- 6218 Lampton Pond Dr
Hilliard, OH 43026-7188 - Phone
- (614) 769-1422
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latonia T Wallace
- Title
- Ceo
- Phone
- (740) 732-5354
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
6218 Lampton Pond Dr
Hilliard, OH 43026-7188
Mailing address
577 Stable St
Pataskala, OH 43062-7066
Phone (740) 325-3544
National Provider Directory
National Provider DirectoryPractitioners & 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": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1598542425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 STABLE ST",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627066",
"telephone_number": "740-325-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 LAMPTON POND DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267188",
"telephone_number": "614-769-1422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGENDZ ENTERPRIZE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "LATONIA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "740-732-5354"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.