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LEGENDARY SERVICE COORDINATION NPI 1598146615


NPI Information

NPI: 1598146615
Provider Name: LEGENDARY SERVICE COORDINATION
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
426 EAST ALLEGHENY AVE.
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 696-2300
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LEGENDARY SERVICE COORDINATION is a hospice care community based in Philadelphia, PA. LEGENDARY SERVICE COORDINATION NPI is 1598146615. The provider is registered as an organization entity type.

The provider's business location address is:

426 EAST ALLEGHENY AVE.
PHILADELPHIA, PA
ZIP 19134-334
Phone: (215) 696-2300

The provider's authorized official is Kaseim Ezell .
The authorized official title is Owner and has the following contact phone number (215) 696-2300.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 6/15/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedPENNSYLVANIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.