LEGACY HEALTHCARE INC. (NPI# 1881024826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881024826 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE INC. |
| Practice Address |
3610 Bosque Plz Nw Albuquerque NM 87120-4295 |
| Practice Telephone | 5053383702 |
| Practice Fax Number | 5053383709 |
| Mailing Telephone | 5053383702 |
| Mailing Fax Number | 5053383709 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MR. JIMMY MELTON (PRESIDENT) |
| Authorized Official Telephone | 5053383702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649402108 | Legacy Healthcare Inc. | Clinic/Center | 1608 29th Ave, Greeley, CO 80634-5720 | 2009-08-18 |
| 1538529540 | Legacy Healthcare Inc. | Skilled Nursing Facility | 322 Nuway Cir, Lenoir, NC 28645-3656 | 2016-03-03 |
| Street Address |
3610 BOSQUE PLZ NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013230069 | Legacy Healthcare, Inc | Home Health | 3610 Bosque Plz Nw, Albuquerque, NM 87120-4295 | 2010-03-04 |
| 1760915243 | Legacy Healthcare, Inc. | Home Health | 3610 Bosque Plz Nw, Albuquerque, NM 87120-4295 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570332 | Nevaeh Hospice Inc. | Hospice Care, Community Based | 6200 Seagull St Ne, Albuquerque, NM 87109-2562 | 2020-08-31 |
| 1720634165 | Luna Vista Hospice LLC | Hospice Care, Community Based | 901 Rio Grande Blvd Nw Ste F148, Albuquerque, NM 87104-2055 | 2019-08-12 |
| 1831646652 | Labor of Love Home Health Services, LLC | Hospice Care, Community Based | 2504 Garfield Ave. Se Suite-5, Albuquerque, NM 87106 | 2016-09-09 |
| 1992182422 | High Desert Hospice LLC | Hospice Care, Community Based | 5801 Osuna Rd Ne, Suite A 107, Albuquerque, NM 87109-2587 | 2015-05-05 |
| 1013272707 | Abarim Home Health Care Inc. | Hospice Care, Community Based | 11000 Candelaria Rd Ne Ste 102w, Albuquerque, NM 87112-1767 | 2012-07-09 |
| 1639206717 | Thi of New Mexico Hospice LLC | Hospice Care, Community Based | 6000 Uptown Blvd. Ne, Suite 104, Albuquerque, NM 87110-4157 | 2007-02-27 |
| 1144314857 | Connections Plus, LLC | Hospice Care, Community Based | 5821 Ave La Mirada Nw, Albuquerque, NM 87114 | 2006-10-03 |
| 1508975509 | Zia Hospice Inc. | Hospice Care, Community Based | 4811 Hardware Dr Ne, Ste E-4, Albuquerque, NM 87109-2017 | 2006-08-30 |
| 1033127147 | Family Hospice Ltd | Hospice Care, Community Based | 5600 Wyoming Blvd., Suite 10, Albuquerque, NM 87109-3136 | 2006-08-04 |
| 1316971112 | Pmc Hospice Services, Inc. | Hospice Care, Community Based | 5700 Harper Dr Ne, Suite 300, Albuquerque, NM 87109-3573 | 2006-07-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
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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.