NPIMap

Organization Active NPI

Legacy Premeir Healthcare Services

  • Home Health Registered Nurse
  • Bradenton, FL
National Provider Identifier
1649883158
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
LEGACY PREMEIR HEALTHCARE SERVICES
Practice address
213 22ND St NE
Bradenton, FL 34208-1631
Phone
(321) 295-1314
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Zarette Mechelle Parker, RNNPI 1073998563
Title
Owner
Phone
(321) 295-1314

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Nursing Care Agency 251J00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

213 22ND St NE
Bradenton, FL 34208-1631

Mailing address

581 N Park Ave Unit 2472
Apopka, FL 32704-8707
Phone (321) 356-7792

Other names 1

  • LEGACY PREMEIR HEALTHCARE SERVICES Former legal business name

National Provider Directory

National Provider Directory

Locations

581 N Park Ave
Unit 2472
Apopka, FL 32704

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": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1649883158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 N PARK AVE UNIT 2472",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327048707",
            "telephone_number": "321-356-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 22ND ST NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081631",
            "telephone_number": "321-295-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PREMEIR HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ZARETTE",
        "authorized_official_middle_name": "MECHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-295-1314",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY PREMEIR HEALTHCARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.