Active NPI
Legacy Healthcare, Inc.
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1760915243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3338
- Legal business name
- LEGACY HEALTHCARE, INC.
- Practice address
- 3610 Bosque PLZ NW
Albuquerque, NM 87120-4295 - Phone
- (505) 338-3702
- Fax
- (505) 338-3709
- NPI assigned
- Apr 11, 2017
- Organization subpart
- Yes
- Parent organization
- LEGACY HEALTHCARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Melton
- Title
- President and Ceo
- Phone
- (505) 917-7998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3338 | NM | Primary |
Addresses
Primary practice location
3610 Bosque PLZ NW
Albuquerque, NM 87120-4295
Mailing address
3610 Bosque PLZ NW
Albuquerque, NM 87120-4295
Phone (505) 338-3702
National Provider Directory
National Provider Directory- Part of
- Legacy Healthcare Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580774400000",
"number": "1760915243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 BOSQUE PLZ NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204295",
"telephone_number": "505-338-3702",
"fax_number": "505-338-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 BOSQUE PLZ NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204295",
"telephone_number": "505-338-3702",
"fax_number": "505-338-3709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY HEALTHCARE, INC",
"enumeration_date": "2017-04-11",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "505-917-7998"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "3338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.