Active NPI
Legacy Home Assistance LLC
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1780400812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LEGACY HOME ASSISTANCE LLC
- Practice address
- 51 N Pecos Rd Ste 112a
Las Vegas, NV 89101-4819 - Phone
- (702) 234-6397
- NPI assigned
- Nov 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Orlando Brizuela Garrido
- Title
- Managing Member
- Phone
- (702) 234-6397
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
51 N Pecos Rd Ste 112a
Las Vegas, NV 89101-4819
Mailing address
51 N Pecos Rd Ste 112a
Las Vegas, NV 89101-4819
National Provider Directory
National Provider DirectoryLocations
51 N Pecos Rd
Ste 112A
Las Vegas, NV 89101
Phone (702) 234-6397
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1649013996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1780400812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N PECOS RD STE 112A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891014819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N PECOS RD STE 112A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891014819",
"telephone_number": "702-234-6397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HOME ASSISTANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "BRIZUELA GARRIDO",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "702-234-6397"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Legacy Health & Wellness
- Legacy Health and Wellness, LLC
- Legacy Health and Wellness, LLC
- Legacy Health and Wellness, LLC
- Legacy Health Centers Inc
- Legacy Home Health Care, LLC
- Legacy Learning Center LLC
- Legacy Life Center LLC (Mind Right Counseling)
- Legacy of Excellence LLC
- Legacy Oriental Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.