Provider Demographics
NPI:1013292200
Name:LEGACY HOME HEALTH CARE SERVICES,LLC
Entity Type:Organization
Organization Name:LEGACY HOME HEALTH CARE SERVICES,LLC
Other - Org Name:LEGACY HOME HEALTH CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-842-2010
Mailing Address - Street 1:1110 MORSE RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6329
Mailing Address - Country:US
Mailing Address - Phone:614-842-2010
Mailing Address - Fax:614-675-2568
Practice Address - Street 1:1110 MORSE RD
Practice Address - Street 2:216
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229
Practice Address - Country:US
Practice Address - Phone:614-499-6354
Practice Address - Fax:614-675-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health