Organization Active NPI

Legendary Healthcare Services, LLC

  • In Home Supportive Care Agency
  • Greenwood, SC
National Provider Identifier
1841808284
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGENDARY HEALTHCARE SERVICES, LLC
Practice address
231 Hampton Ave Ste D
Greenwood, SC 29646-2299
Phone
(864) 377-8048
Fax
(864) 377-8055
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Tashara Anderson, RNNPI 1487275913
Title
RN/Administrator
Phone
(864) 971-2035

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

231 Hampton Ave Ste D
Greenwood, SC 29646-2299

Mailing address

231 Hampton Ave Ste D
Greenwood, SC 29646-2299
Phone (864) 377-8048

National Provider Directory

National Provider Directory

Locations

231 Hampton Ave
Ste D
Greenwood, SC 29646
Phone (864) 377-8048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1841808284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HAMPTON AVE STE D",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462299",
            "telephone_number": "864-377-8048",
            "fax_number": "864-377-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HAMPTON AVE STE D",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462299",
            "telephone_number": "864-377-8048",
            "fax_number": "864-377-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TASHARA",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "864-971-2035",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.