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General NPI Number Information
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NPI Number | 1497647572
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Entity Type | Organization
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Legal Business Name | LEGACY HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 10419 MARY CIR
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City | OMAHA
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State | NE
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Zip | 68122-1051
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Country | US
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Telephone | 402-813-4094
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Fax |
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Provider Business Mailing Address
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Address Line | 10419 MARY CIR
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City | OMAHA
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State | NE
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Zip | 68122-1051
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Country | US
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Telephone | 402-813-4094
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | COURTNEY HARRIS
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Credential |
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Telephone | 402-813-4094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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