LEGENDARY HEALTHCARE, LLC


Address: 106 Suburban Dr, Norfolk, NE 68701-6720
Phone: 4026408586

LEGENDARY HEALTHCARE, LLC (NPI# 1417519505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417519505
Entity Type Organization
Organization Name LEGENDARY HEALTHCARE, LLC
Other Organization Name IMPROVED HEALTHCARE
Practice Address 106 Suburban Dr
Norfolk
NE 68701-6720
Practice Telephone 4026408586
Mailing Telephone 4026408586
Enumeration Date 2019-06-28
Last Update Date 2019-07-11
Authorized Official Name MR. DAKOTA R HARMON (OWNER/DIRECTOR)
Authorized Official Telephone 4026408586
Authorized Official Credential CSCM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider/Organization Names

Other Name Type Code
Improved Healthcare Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
106 Suburban Dr, Norfolk, NE 687016720 4026408586

Office Location

Street Address 106 SUBURBAN DR
City NORFOLK
State NE
Zip Code 68701-6720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700408465 Women's Empowering Life Line, Inc. Substance Abuse Rehabilitation Facility 200 South 13th St, Norfolk, NE 68701 2020-05-15
1093297103 Nicole Marie Owens Physician Assistant 2701 W. Norfolk Ave, Norfolk, NE 68701 2018-09-05
1326535410 Healing Hands of Nebraska, PC Otolaryngology Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 2018-04-16
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1609396423 Alison Erin Pfeifer Physical Therapy Assistant 1220 W Benjamin Ave #4, Norfolk, NE 68701 2017-06-22
1568996148 Xanat Naranjo Registered Nurse 105 E. Norfolk Ave, Norfolk, NE 68701 2017-04-20
1194259945 Angela Cornett Licensed Practical Nurse 105 E. Norfolk, Norfolk, NE 68701 2017-04-19
1669906400 Melodie Ann Nielsen Registered Nurse 105 East Norfolk Ave, Norfolk, NE 68701 2017-04-19
1528519543 Women's Empowering Life Line Substance Abuse Rehabilitation Facility 910 West Park Avenue, Norfolk, NE 68701 2016-10-14
1174983100 Brooke Cemper Nurse Practitioner 2701 West Norfolk Ave, Norfolk, NE 68701 2016-03-03
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417590563 Trinity Home Care In Home Supportive Care 618 Euwanee Pl, Norfolk, VA 23503-5325 2019-10-22
1730741331 Hampton Roads Home Care LLC In Home Supportive Care 957 W 21st St Ste K, Norfolk, VA 23517-1536 2019-07-03
1700344033 Starkel Corporation In Home Supportive Care 100 N 34th St Ste D, Norfolk, NE 68701-7700 2019-03-05
1093218893 Wright Care Health Services, LLC In Home Supportive Care 5215 Colley Ave Ste 133, Norfolk, VA 23508-2172 2018-03-18
1144747155 Yeshoveiv Health In Home Supportive Care 273 Granby St Ste 200, Norfolk, VA 23510-1800 2017-08-30
1699224295 Norfolk Senior Care LLC In Home Supportive Care 6040 E Virginia Beach Blvd, Suite B, Norfolk, VA 23502-2474 2016-09-25
1669857215 Golden Transitions Inc. In Home Supportive Care 1800 W Pasewalk Ave Ste A, Norfolk, NE 68701-5657 2015-07-24
1245638899 Americare Plus, LLC. In Home Supportive Care 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 2014-12-15
1568769727 Healing Hands Services In Home Supportive Care 1400 Arbor Ave, Norfolk, VA 23513-1115 2011-02-23
1629374467 Angel Care Private Duty Nursing Services In Home Supportive Care 7421 Central Business Park Dr, Suite 106 B, Norfolk, VA 23513-2800 2011-01-26
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Competitor

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City NORFOLK
Zip Code 68701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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