{
"Npi": {
"NPI": "1477067502",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEGACY HOME HEALTH CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7384 STATE ROAD 21 KEYSTONE HEIGHTS, FL 32656",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KEYSTONE HEIGHTS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32656",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "523-478-7030",
"MailingAddressFaxNumber": "352-478-7035",
"FirstLinePracticeLocationAddress": "445 S LAWRENCE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KEYSTONE HEIGHTS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32656-9222",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-478-7030",
"PracticeLocationAddressFaxNumber": "352-478-7035",
"EnumerationDate": "11/28/2017",
"LastUpdateDate": "11/27/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MURPHY",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "352-478-7030",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251F00000X",
"TaxonomyName": "Home Infusion Agency",
"LicenseNumber": "299994720",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299994720",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}