Legacy Home Care LC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH-224 Issued in ID

Legal business name

LEGACY HOME CARE LC

Doing business as

Legacy Home Health Care

Practice address

680 S Progress Ave
Suite 2a
Meridian, ID 83642-2957

Phone

(208) 888-3669

Fax

(208) 888-3675

NPI assigned

Jan 8, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Wayde Sondrup, PT

Title

Owner Administrator

Phone

(208) 888-3669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy Home Health Care Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1952459372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S PROGRESS AVE",
            "address_2": "SUITE 2A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422957",
            "telephone_number": "208-888-3669",
            "fax_number": "208-888-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S PROGRESS AVE",
            "address_2": "SUITE 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 LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "SONDRUP",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WAYDE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "208-888-3669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806775",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Paul Leenknecht
• Kayla Leer, DPT
• Elizabeth Lefevre
• Thomas Leftwich
• Legacy Home Care II, LLC (Compassus Home Health Boise ID)
• Legacy Hospice Care, LLC (Legacy home health and hospice)
• Legacy Hospice II, LLC (Compassus Hospital Boise)
• Legacy Primary Care, LLC
• Legacy Smiles Family Dental, PLLC
• Jeremiah S Legg, LCSW

• Home Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.