Organization Active NPI

Legacy Plus Home Health

  • Home Health Agency
  • Inkster, MI
National Provider Identifier
1619560042
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY PLUS HOME HEALTH
Practice address
27010 Carlysle St
Inkster, MI 48141-2554
Phone
(313) 817-7568
Fax
(313) 633-0152
NPI assigned
Feb 17, 2021
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY PLUS HOME CARE AGENCY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Tiffany WellsNPI 1992192603
Title
Owner/President
Phone
(313) 817-7568

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

27010 Carlysle St
Inkster, MI 48141-2554

Mailing address

27010 Carlysle St
Inkster, MI 48141-2554
Phone (313) 817-7568

National Provider Directory

National Provider Directory
Part of
Legacy Plus Home Care Agency LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1619560042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27010 CARLYSLE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412554",
            "telephone_number": "313-817-7568",
            "fax_number": "313-633-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27010 CARLYSLE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412554",
            "telephone_number": "313-817-7568",
            "fax_number": "313-633-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PLUS HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY PLUS HOME CARE AGENCY LLC",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "313-817-7568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.