Legacy Home Health Care

LBN: Legacy Home Care Lc
Legacy Home Health Care is an health care organization with primary practice located at 680 S Progress Ave Suite 2A, Meridian ID 83642-2957. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Legacy Home Care Lc can be contacted via phone (208) 888-3669, or through Sondrup, Roger Wayde via phone (208) 888-3669.

Contact Information

Primary practice address
680 S Progress Ave Suite 2A Meridian ID 83642-2957
Phone: (208) 888-3669
Fax: (208) 888-3675
Website:
Map and Directions
Authorized official contact:
Name: Sondrup, Roger Wayde Physical Therapist (PT)
Phone: (208) 888-3669

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HH-224 Idaho

Profile Details

NPI number 1952459372
LBN Legal business name Legacy Home Care Lc
DBA Doing business as Legacy Home Health Care
Authorized official Sondrup, Roger Wayde Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 7th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952459372 NPPES
Idaho MEDICAID 806775

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