NPIMap

Organization Active NPI

Legacy Home Health Care of Southern Arizona, LLC

  • Home Health Agency
  • Sierra Vista, AZ
National Provider Identifier
1770817256
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
Practice address
4996 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2435
Phone
(520) 335-6118
Fax
(520) 335-6736
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mrs. Melissa Simonsen
Title
Director of Business Services
Phone
(520) 335-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4996 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2435

Mailing address

4996 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2435
Phone (520) 335-6118

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1770817256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR",
            "address_2": "SUITE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352435",
            "telephone_number": "520-335-6118",
            "fax_number": "520-335-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR",
            "address_2": "SUITE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352435",
            "telephone_number": "520-335-6118",
            "fax_number": "520-335-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "520-335-6118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.