BLUE LEGACY SUPPORT INC
NPI 1104783315
In Home Supportive Care in Fort Lauderdale, FL
- Organization
- In Home Supportive Care
About BLUE LEGACY SUPPORT INC
This page provides the complete NPI Profile along with additional information for Blue Legacy Support Inc, a provider established in Fort Lauderdale, Florida operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1104783315 assigned on January 2026. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Seth Clark (President)
- NPI
- 1104783315 Verify this NPI
- Provider Name
- BLUE LEGACY SUPPORT INC
- Entity Type
- Organization
- Location Address
- 2598 E SUNRISE BLVD STE 2104 FORT LAUDERDALE, FL 33304
- Location Phone
- (954) 723-5422
- Location Fax
- (954) 723-5401
- Mailing Address
- 2598 E SUNRISE BLVD STE 2104 FORT LAUDERDALE, FL 33304
- Mailing Phone
- (954) 723-5422
- Mailing Fax
- (954) 723-5401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2026
- Last Update Date
- 01-08-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
FORT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FT LAUDERDALE, FL 33304
FT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104783315, enumerated as an "organization" on January 08, 2026.
The provider is located at 2598 E SUNRISE BLVD STE 2104 FORT LAUDERDALE, FL 33304 and the phone number is (954) 723-5422.
In Home Supportive Care with taxonomy code 253Z00000X.
