Organization Active NPI

LPS Legacy Enterprises LLC

Doing business as A Place at Home

  • In Home Supportive Care Agency
  • Pueblo, CO
National Provider Identifier
1881323889
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LPS LEGACY ENTERPRISES LLC
Doing business as
A Place at Home
Practice address
4023 Club Manor Dr
Pueblo, CO 81008-2004
Phone
(719) 671-2362
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Bambi Creek
Title
Owner
Phone
(719) 671-2362

Specialties & licenses 1

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

Addresses

Primary practice location

4023 Club Manor Dr
Pueblo, CO 81008-2004

Mailing address

4023 Club Manor Dr
Pueblo, CO 81008-2004

Other names 1

  • A Place at Home Doing business as

National Provider Directory

National Provider Directory

Locations

4023 Club Manor Dr
Pueblo, CO 81008
Phone (719) 671-2362

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1881323889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 CLUB MANOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 CLUB MANOR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082004",
            "telephone_number": "719-671-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPS LEGACY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "CREEK",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-671-2362"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.