Legendary Homecare Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGENDARY HOMECARE AGENCY

Practice address

2593 4TH St W Apt 308
Dickinson, ND 58601-2447

Phone

(215) 485-2276

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Ernest Galison Gibson

Title

Administrator

Phone

(215) 485-2276

Specialties & licenses 1

Addresses

Other names 1

• Legendary Homecare Agency Former legal business name

Tax ID family

Legendary Homecare Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legendary Homecare Agency

  • Home Health Aide
  • Dickinson, ND
  • NPI 1154139442
  NPD tax ID

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1831908169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 4TH ST W APT 308",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012447",
            "telephone_number": "215-485-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 4TH ST W APT 308",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012447",
            "telephone_number": "215-485-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GALISON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-485-2276"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legendary Homecare Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christine Lawson
• Jason Lawson, OTR/L
• Glenn Lefor, CRNA
• Katie L Lefor, LPCC
• Legendary Homecare Agency
• Bethany Leier
• Tyler James Leintz, D.C.
• Brooklyn Lemieux, PHARMD
• Audrey Lenz
• Barbara J Leshovsky, LPC

• All providers in Dickinson, ND
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.