LEGACY HEALTHCARE, INC
NPI 1013230069
Home Health in Albuquerque, NM

Q: What is Legacy Healthcare, Inc's NPI number?

The NPI number for Legacy Healthcare, Inc is 1013230069. It was assigned to this organization in the NPPES registry on March 4, 2010.

Q: What is Legacy Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since March 04, 2010CLIA 32D2011239 · Waiver

3610 BOSQUE PLZ NW, ALBUQUERQUE, NM 87120(505) 338-3702(505) 338-3709 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Healthcare, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTHCARE, INC (NPI 1013230069) is a healthcare organization registered as a home health in Albuquerque, New Mexico and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Jimmy D Melton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013230069

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameLEGACY HEALTHCARE, INC

Location Address3610 BOSQUE PLZ NWAlbuquerque, NM 87120-4295

Mailing Address3610 Bosque Plz NwAlbuquerque, NM 87120-4295 · (505) 338-3702 · Fax (505) 338-3709

Phone(505) 338-3702

Fax(505) 338-3709

Organization SubpartNo

Authorized OfficialJimmy D MeltonChief Executive Officer · (505) 917-7998

Enumeration DateMarch 4, 2010

Last NPPES UpdateJanuary 30, 2020

✔ NPI 1013230069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

3610 BOSQUE PLZ NW, Albuquerque, NM 87120

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Other Identifiers 1

Medicaid46758810NM

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2011239

Legacy Healthcare Inc · Albuquerque, NM

Active · expires Aug 12, 2026

CLIA Number32D2011239

Laboratory TypeHome Health Agency

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorRamona Melton

Laboratory Phone(505) 338-3702

Laboratory LocationLegacy Healthcare Inc3610 Bosque Plaza Lane NW, Albuquerque, NM 87120

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEGACY HEALTHCARE, INC.

Home Health

3610 BOSQUE PLZ NW
ALBUQUERQUE, NM 87120

Bernalillo County (505) 338-3702

LEGACY HEALTHCARE INC.

Hospice Care, Community Based

3610 BOSQUE PLZ NW
ALBUQUERQUE, NM 87120

Bernalillo County (505) 338-3702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Healthcare, Inc's NPI number?

The NPI number for Legacy Healthcare, Inc is 1013230069. It was assigned to this organization in the NPPES registry on March 4, 2010.

Where is Legacy Healthcare, Inc located?

Legacy Healthcare, Inc is located at 3610 Bosque Plz NW, Albuquerque, NM 87120. The listed phone number is (505) 338-3702.

What is Legacy Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Legacy Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2011239) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare, Inc was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.