Your Legacy Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YOUR LEGACY HOME CARE SERVICES, LLC

Practice address

9700 Research Dr Ste 107
Charlotte, NC 28262-8569

Phone

(704) 817-7706

Fax

(704) 817-8293

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tonja Simmons Norman, DNPNPI 1275705725

Title

Owner

Phone

(704) 817-7706

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

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

• Tonja Simmons Norman, FNP-C, PMHNP-BC

  • Nurse Practitioner
  • Gastonia, NC
  • NPI 1275705725
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1659032373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628569",
            "telephone_number": "704-817-7706",
            "fax_number": "704-817-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628569",
            "telephone_number": "704-817-7706",
            "fax_number": "704-817-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LEGACY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "SIMMONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-817-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA DHHS",
            "identifier": "HC6385",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Youth and Family Continuum of Care, Inc.

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.