Legacy House Calls LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LEGACY HOUSE CALLS LLC

Practice address

2205 Edinburgh Way
Garland, TX 75040-1139

Phone

(469) 767-4074

Fax

(214) 227-5448

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Philomena NwaokoloNPI 1427678762

Title

Administrator

Phone

(469) 767-4074

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philomena Nwaokolo

  • Adult Health Nurse Practitioner
  • Garland, TX
  • NPI 1427678762

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1972103778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 EDINBURGH WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401139",
            "telephone_number": "469-767-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 EDINBURGH WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401139",
            "telephone_number": "469-767-4074",
            "fax_number": "214-227-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Edinburgh Way",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750401139",
            "country_code": "US",
            "telephone_number": "469-767-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "NWAOKOLO",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-767-4074"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.legacyhc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2205 Edinburgh Way",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750401139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Lee, APRN, FNP-C
• Nicholas Quoc Lee, DDS
• Seung Min Lee, PHARM.D
• Wai Mei Lee, DDS
• Ricky Lynn Leflore, D.D.S.
• Legend Home Healthcare, Inc.
• Yeshewaget Legesse
• Isabella Legezu, APRN
• Cody Legg, A.T.C., L.A.T.
• Norma Soto Lehman, DDS

• Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.