Active NPI
Atomic Legacy Home Health, LLC
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1780426064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.