LEGACY HOME HEALTH CARE, LLC
NPI 1548078249
Home Health in Las Vegas, NV

NPI Status: Active since December 27, 2024

Contact Information

1500 E TROPICANA AVE STE 124
LAS VEGAS, NV
ZIP 89119
Phone: (877) 595-7938
Fax: (877) 550-3633

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  • Organization
  • Home Health
  • CLIA Number: 29D2289182
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 09-05-2027

About LEGACY HOME HEALTH CARE, LLC

This page provides the complete NPI Profile along with additional information for Legacy Home Health Care, Llc, a provider established in Las Vegas, Nevada operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1548078249 assigned on December 2024. The practitioner's primary taxonomy code is 251E00000X. 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 Dr. Erickson Bautista (Authorized Official)

NPI
1548078249
Provider Name
LEGACY HOME HEALTH CARE, LLC
Entity Type
Organization
Location Address
1500 E TROPICANA AVE STE 124 LAS VEGAS, NV 89119
Location Phone
(877) 595-7938
Location Fax
(877) 550-3633
Mailing Address
1500 E TROPICANA AVE STE 124 LAS VEGAS, NV 89119
Mailing Phone
(877) 595-7938
Mailing Fax
(877) 550-3633
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2024
Last Update Date
12-27-2024
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERICKSON BAUTISTA

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(877) 595-7938

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2289182
Facility Type
Hospice
Certificate Effective Date
September 06, 2025
Certificate Expiration Date
September 05, 2027
Laboratory Director
ERICKSON C BAUTISTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Legacy Home Health Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548078249, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 0 + 7 + 1 + 6 + 2 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548078249.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548078249, enumerated as an "organization" on December 27, 2024.

The provider is located at 1500 E TROPICANA AVE STE 124 LAS VEGAS, NV 89119 and the phone number is (877) 595-7938.

Home Health with taxonomy code 251E00000X.