LEGACY HEALTH CARE INC. NPI 1831196328

NPI Information

NPI: 1831196328
Provider Name: LEGACY HEALTH CARE, INC.

Other Name: LEGACY HEALTHCARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3135 N FAIRFIELD RD
LAYTON, UT
ZIP 84041
Phone: (801) 771-9099
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LEGACY HEALTH CARE, INC. is a hospice care community based in Layton, UT. LEGACY HEALTH CARE, INC. NPI is 1831196328. The provider is registered as an organization entity type.
The provider Other Name Is Legacy Healthcare.

The provider's business location address is:

3135 N FAIRFIELD RD
LAYTON, UT
ZIP 84041-832
Phone: (801) 771-9099
Fax: (801) 771-0200

The provider's authorized official is Keith G Gordon .
The authorized official title is Ceo/administrator and has the following contact phone number (801) 771-9099.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 10/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		2005-HOSPICE-55836	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	461535	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE PROVIDER NUMBER
2	=========001	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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