NPI 1104823038 · live from the CMS NPI Registry
Legacy Hospice Care, LLC
Hospice Care, Community Based in Meridian, ID. National Provider Identifier 1104823038, active.
NPI record
| NPI | 1104823038 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 680 S Progress Ave, Suite 2a, Meridian, ID 83642 |
| Practice phone | 208-895-8686 |
| Enumerated | July 7, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Christie Roach, Administrator |
| Other names | Legacy Home Health And Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.