Active NPI
Legacy Home Care II, LLC
- Home Health Agency
- Meridian, ID
National Provider Identifier
1922326479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HH-224
- Legal business name
- LEGACY HOME CARE II, LLC
- Practice address
- 680 S Progress Ave
Ste 2a
Meridian, ID 83642-2957 - Phone
- (208) 888-3669
- Fax
- (208) 888-3675
- NPI assigned
- May 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony James
- Title
- Cfo
- Phone
- (615) 425-5418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH-224 | ID | Primary |
Addresses
Primary practice location
680 S Progress Ave
Ste 2a
Meridian, ID 83642-2957
Mailing address
10 Cadillac Drive
Suite 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Other names 1
- Compassus Home Health Boise ID
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485734400000",
"number": "1922326479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CADILLAC DRIVE",
"address_2": "SUITE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271001",
"telephone_number": "615-377-7022",
"fax_number": "615-373-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S PROGRESS AVE",
"address_2": "STE 2A",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422957",
"telephone_number": "208-888-3669",
"fax_number": "208-888-3675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HOME CARE II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-07",
"last_updated": "2017-01-30",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "615-425-5418",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ID",
"license": "HH-224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus Home Health Boise ID",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.