LEGACY 12 HOLDINGS LLC. NPI 1073329462

NPI Information

  • NPI: 1073329462
  • Provider Name: LEGACY 12 HOLDINGS, LLC.
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 144 THOMAS GREEN BLVD STE 239
    CLEMSON, SC
    ZIP 29631
  • Phone: (304) 541-3031

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NPI Details

LEGACY 12 HOLDINGS, LLC. is an in home supportive care in Clemson, SC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. LEGACY 12 HOLDINGS, LLC. NPI is 1073329462. The provider is registered as an organization entity type.

The provider's business location address is:

144 THOMAS GREEN BLVD STE 239
CLEMSON, SC
ZIP 29631-291
Phone: (304) 541-3031

The provider's authorized official is Tim Dagostine .
The authorized official title is Owner and has the following contact phone number (304) 541-3031.

The enumeration date for this NPI number is 12/10/2024 and was last updated on 12/10/2024.

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
1253Z00000XIn Home Supportive CareYes

What is NPI?

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This page was last updated on: 3/30/2025

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