Provider Demographics
NPI:1497261408
Name:LEGENDS HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:LEGENDS HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:513-512-8876
Mailing Address - Street 1:1904 SAVANNAH WAY APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1952
Mailing Address - Country:US
Mailing Address - Phone:513-512-8876
Mailing Address - Fax:
Practice Address - Street 1:1904 SAVANNAH WAY APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1952
Practice Address - Country:US
Practice Address - Phone:513-512-8876
Practice Address - Fax:513-512-8876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4110547251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health