LEGACY HOME HEALTH AGENCY INC NPI 1124228317

NPI Information

NPI: 1124228317
Provider Name: LEGACY HOME HEALTH AGENCY, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6000 S STAPLES ST STE 403A
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 855-0848
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LEGACY HOME HEALTH AGENCY, INC is a hospice care community based in Corpus Christi, TX. LEGACY HOME HEALTH AGENCY, INC NPI is 1124228317. The provider is registered as an organization entity type.

The provider's business location address is:

6000 S STAPLES ST STE 403A
CORPUS CHRISTI, TX
ZIP 78413-952
Phone: (361) 855-0848
Fax: (361) 853-4855

The provider's authorized official is Ambrose Hernandez .
The authorized official title is Ceo/owner and has the following contact phone number (361) 855-0848.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 6/27/2022.

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		008442	TEXAS	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	001013242	MEDICAID	TEXAS
2	001015098	MEDICAID	TEXAS
3	45D0945503	OTHER	TEXAS	CLIA
4	001003937	MEDICAID	TEXAS
5	001003938	MEDICAID	TEXAS
6	8616	OTHER	TEXAS	CLIA

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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