Organization Active NPI

Legum Home Health Care, Inc

Doing business as Home IV Care and Nutritional Service

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Waynesboro, VA
National Provider Identifier
1891859609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
LEGUM HOME HEALTH CARE, INC
Doing business as
Home IV Care and Nutritional Service
Practice address
30 Ebco Cir
Suite 102
Waynesboro, VA 22980-7344
Phone
(540) 932-3000
Fax
(540) 932-3028
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Greg Dedrick
Title
Director of Reimbursement
Phone
(540) 932-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU Primary

Addresses

Primary practice location

30 Ebco Cir
Suite 102
Waynesboro, VA 22980-7344

Mailing address

30 Ebco Cir
Suite 102
Waynesboro, VA 22980-7344
Phone (540) 932-3000

Other names 1

  • Home IV Care and Nutritional Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home IV Care and Nutritional Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

30 Ebco Cir
Ste 102
Waynesboro, VA 22980
Phone (540) 932-3000

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891859609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EBCO CIR",
            "address_2": "SUITE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-932-3000",
            "fax_number": "540-932-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EBCO CIR",
            "address_2": "SUITE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-932-3000",
            "fax_number": "540-932-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGUM HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEDRICK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "540-932-3000"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home IV Care and Nutritional Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

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