LEGACY HEALTHCARE SERVICES INC. (NPI# 1710459276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710459276 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES INC. |
| Practice Address |
2555 Madison Ave Baltimore MD 21217-4041 |
| Practice Telephone | 2405056980 |
| Mailing Telephone | 2405056980 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | DR. SIKIRAT DISU (PRESIDENT) |
| Authorized Official Telephone | 2405056980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487366 | Legacy Healthcare Services Inc. | Occupational Therapist | 1481 Marbach Dr, Washington, MO 63090-4636 | 2020-01-30 |
| 1164620084 | Legacy Healthcare Services Inc. | Occupational Therapist | 7100 W 13th Ave, Suite 213, Lakewood, CO 80214-4782 | 2007-07-03 |
| 1710504741 | Legacy Healthcare Services Inc. | Speech-Language Pathologist | 487 Highway 378, Lexington, SC 29072-9177 | 2020-06-25 |
| 1871125328 | Legacy Healthcare Services Inc. | Speech-Language Pathologist | 10301 Golf Course Rd Nw, Albuquerque, NM 87114-5380 | 2020-02-12 |
| 1871132357 | Legacy Healthcare Services Inc. | Occupational Therapist | 3405 El Salido Pkwy, Cedar Park, TX 78613-5640 | 2019-12-31 |
| 1376008185 | Legacy Healthcare Services Inc. | Occupational Therapist | 4560 W Alexis Rd, Toledo, OH 43623-1082 | 2019-02-06 |
| 1467945709 | Legacy Healthcare Services Inc. | Occupational Therapist | 2041 Hubbard Rd, Madison, OH 44057-2565 | 2018-06-12 |
| 1073964417 | Legacy Healthcare Services Inc. | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2016-06-27 |
| 1912307877 | Legacy Healthcare Services Inc. | Occupational Therapist | 2770 S Adams St, Bloomington, IN 47403-3242 | 2014-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | LEGACY HEALTHCARE SERVICES INC. | 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Legacy HealthCare Services Inc. | 3001 Spring Forest Rd, Raleigh, North Carolina 27616 |
| Street Address |
2555 MADISON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174766786 | The Ultimate Health Services LLC | Nursing Care | 2555 Madison Ave, Baltimore, MD 21217-4041 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897537 | Morgan's Health Nursing Service, Inc. | Nursing Care | 911 W 36th St Ste 4, Baltimore, MD 21211-2445 | 2020-09-25 |
| 1083246854 | Keasha Hannah | Nursing Care | 4139 W Forest Park Ave Fl 1, Baltimore, MD 21207-7408 | 2020-02-10 |
| 1023658903 | Azikeh Health Services Inc | Nursing Care | 42 Tameron Pl, Baltimore, MD 21237-2044 | 2020-01-08 |
| 1114562733 | Brandi Terdra Davis | Nursing Care | 4736 Wakefield Rd Apt 202, Baltimore, MD 21216-1085 | 2019-11-07 |
| 1154965515 | Acc Medical Services LLC | Nursing Care | 10017 Bird River Rd, Baltimore, MD 21220-1500 | 2019-10-29 |
| 1487203436 | Chesapeake Vascular Access LLC | Nursing Care | 1730 Twin Springs Rd Ste 218, Baltimore, MD 21227-3551 | 2019-09-11 |
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1821557794 | Morgan's Health Nursing Service, Inc. | Nursing Care | 2701 E Monument St Ste 101, Baltimore, MD 21205-2632 | 2019-03-19 |
| 1104390624 | Healing In Homes, LLC | Nursing Care | 2901 Druid Park Dr Ste A110, Baltimore, MD 21215-8127 | 2019-01-17 |
| 1225544489 | Caring Hands Health Solutions, LLC | Nursing Care | 2637 Greenmount Ave, Baltimore, MD 21218-4724 | 2017-12-22 |
| Find all providers in BALTIMORE | ||||
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| 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.