Legacy in-Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY IN-HOME CARE SERVICES, LLC

Practice address

4485 Lawrenceville Hwy NW Ste 207 #3049
Lilburn, GA 30047

Phone

(919) 454-2004

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Lanica Adams Green

Title

Owner/Administrator

Phone

(919) 454-2004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1861068579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 LAWRENCEVILLE HWY NW STE 207 #3049",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "919-454-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 LAWRENCEVILLE HWY NW STE 207 #3049",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "919-454-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY IN-HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LANICA",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-454-2004"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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