CCN: 687027 NPI: 1477067502 Organization

LEGACY HOME HEALTH CARE INC

445 S LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 326569222

Contact Information

Phone 3524787030
Fax 3524787035
Enumeration Date 2017-11-28
Last Updated 2023-11-27

Taxonomies

Code: 251F00000X License State: FL License: 299994720
Code: 251E00000X (Primary) License State: FL License: 299994720

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

censusDivision 3

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27260

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 99