Organization Active NPI

Legacy Home Care II, LLC

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1922326479
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH-224 Issued in ID
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

Updated by the provider on Jan 30, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.