Legacy in Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY IN HOME CARE, INC.

Practice address

3933 Clarks River Rd
Paducah, KY 42003-0804

Phone

(314) 698-3500

Fax

(270) 442-0507

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By 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

Shan Wolfe

Title

Owner

Phone

(314) 698-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1962855049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 CLARKS RIVER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420030804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 CLARKS RIVER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420030804",
            "telephone_number": "314-698-3500",
            "fax_number": "270-442-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY IN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-698-3500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.