Provider Demographics
NPI:1356701049
Name:LEGACY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:LEGACY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:DAAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:BS-RRT
Authorized Official - Phone:720-428-8490
Mailing Address - Street 1:1582 S PARKER RD
Mailing Address - Street 2:SUITE #108
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2714
Mailing Address - Country:US
Mailing Address - Phone:720-428-8490
Mailing Address - Fax:720-242-7057
Practice Address - Street 1:1582 S PARKER RD
Practice Address - Street 2:SUITE #108
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2714
Practice Address - Country:US
Practice Address - Phone:720-428-8490
Practice Address - Fax:720-242-7057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health