Legacy Healthcare Advantage LLC
In Home Supportive Care in Spartanburg, SC. Organization (NPI-2).
NPI number1568974863
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1568974863
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Healthcare Advantage LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2017
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 302R00000X | Health Maintenance Organization | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
371 E Henry StSpartanburg, SC 29302-2607
Phone 864-431-4273
Mailing address
531 Meadowseed CtLyman, SC 29365-1357
Authorized official
Cortella Wilkes
Owner
8643088712
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other In Home Supportive Care providers in Spartanburg, SC
- 3 Hearts LLCNPI 1801368709
- A Step Above Home Care, LLCNPI 1598503997
- Absolute Care Solutions, LLCNPI 1184226581
- Ajf Personal Home Care Specialists, LLCNPI 1386006898
- Rebecca Jane AllenNPI 1588237101
- Davene D BrewtonNPI 1144999533
- Brilliant MindsNPI 1356963284
- Caring Fore You Of The Upstate LLCNPI 1164791513
- Carolina Professional Staffing, INC.NPI 1972745529
- Certified Caregivers-SpartanburgNPI 1831930668
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.