NPIMap

Organization Active NPI

Legacy Home Healthcare of Southern Arizona

  • In Home Supportive Care Agency
  • Sierra Vista, AZ
National Provider Identifier
1861795254
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY HOME HEALTHCARE OF SOUTHERN ARIZONA
Practice address
1700 S Hwy 92 Ste a
Sierra Vista, AZ 85635-5836
Phone
(520) 335-6118
Fax
(520) 335-6736
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Shella Jane Ladd, RN, BSN
Title
President
Phone
(520) 335-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1700 S Hwy 92 Ste a
Sierra Vista, AZ 85635-5836

Mailing address

1700 S Hwy 92 Ste a
Sierra Vista, AZ 85635-5836
Phone (520) 335-6118

Other names 1

  • Legacy Health Care Home Supportive Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Legacy Home Health Care of Southern Arizona LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1861795254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S HWY 92 STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355836",
            "telephone_number": "520-335-6118",
            "fax_number": "520-335-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S HWY 92 STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355836",
            "telephone_number": "520-335-6118",
            "fax_number": "520-335-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTHCARE OF SOUTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-335-6118",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Health Care Home Supportive Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.