NPIMap

Organization Active NPI

Legacy Private Home Care Services

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1972155836
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY PRIVATE HOME CARE SERVICES
Doing business as
legacy private home care services
Practice address
2302 Parklake Dr NE Ste 578
Atlanta, GA 30345-2896
Phone
(310) 755-4045
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Mr. Olayinka Oyedotun
Title
Owner
Phone
(310) 755-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2302 Parklake Dr NE Ste 578
Atlanta, GA 30345-2896

Mailing address

2302 Parklake Dr NE Ste 578
Atlanta, GA 30345-2896
Phone (310) 755-4045

Other names 1

  • legacy private home care services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.legacyprivatecarehome.com Direct

National Provider Directory

National Provider Directory

Locations

2302 Parklake Dr NE
Ste 578
Atlanta, GA 30345
Phone (310) 755-4045

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1972155836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 578",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452896",
            "telephone_number": "310-755-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 578",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452896",
            "telephone_number": "310-755-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PRIVATE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "OYEDOTUN",
        "authorized_official_first_name": "OLAYINKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-755-4074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.legacyprivatecarehome.com",
            "affiliation": "N",
            "endpointDescription": "safe site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2302 Parklake Dr NE Ste 578",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303452896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "legacy private home care services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.