Legacy Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY HOME HEALTH CARE LLC

Practice address

14545 Friar St Ste 287
Van Nuys, CA 91411-2397

Phone

(747) 444-3240

Fax

(800) 820-8667

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Artak Serobyan

Title

President/Treasurer/Secertary

Phone

(747) 444-3240

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1811562218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 287",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "747-444-3240",
            "fax_number": "800-820-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 287",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "747-444-3240",
            "fax_number": "800-820-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "SEROBYAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER/SECERTARY",
        "authorized_official_telephone_number": "747-444-3240"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DSL",
            "affiliation": "N",
            "endpointDescription": "Hospice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14545 Friar St Ste 287",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sung Wook Lee, L.A.C.
• Sungah Lee, DMD
• Sungalina Jenna Lee, MFTI
• Tai Kwong Lee, M.D.
• Yoo Bin Lee
• Legacy Hospice Inc.
• Edwin Kenneth Legarreta
• Michael David Legmann, M.D.
• Adrienne M. Leguizamo
• Corrine Marie Leikam, PSY.D.

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.