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Contact Information

LEGACY PERSONAL CARE SERVICES, LLC
120 9TH AVE S STE 110
NAMPA, ID83651-3824
 Phone: 208-369-6467
 Fax: 208-463-4516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for LEGACY PERSONAL CARE SERVICES, LLC

NPI # 1326905167
LBN Legal business name LEGACY PERSONAL CARE SERVICES, LLC
Authorized official ANGELITA JIMENEZ-MARTINEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Identifiers
ID Medicaid A0011664
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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