Organization Active NPI

Atomic Legacy Home Health, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1780426064
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATOMIC LEGACY HOME HEALTH, LLC
Practice address
3601 W Sahara Ave Ste 102
Las Vegas, NV 89102-5818
Phone
(509) 728-9594
Fax
(509) 728-9535
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mr. Stephen Adam Wendt, RN
Title
Owner
Phone
(509) 528-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3601 W Sahara Ave Ste 102
Las Vegas, NV 89102-5818

Mailing address

303 Bradley Blvd Ste 107
Richland, WA 99352-4497
Phone (509) 728-9594

National Provider Directory

National Provider Directory

Locations

303 Bradley Blvd
Ste 107
Richland, WA 99352

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1780426064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 107",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "509-728-9594",
            "fax_number": "509-728-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W SAHARA AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025818",
            "telephone_number": "509-728-9594",
            "fax_number": "509-728-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOMIC LEGACY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-528-1512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.