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LIVING LEGACY HEALTH LLC
NPI 1891487997
Family Medicine in Lewiston, ID

Active since May 25, 2023
7717 PADDOCK LN, LEWISTON, ID 83501(208) 503-3113 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2024, Jul 20, 2023, May 25, 2023 (3 updates tracked since 2023).

About Living Legacy Health Llc NPPES

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

LIVING LEGACY HEALTH LLC (NPI 1891487997) is a healthcare organization registered as a family medicine in Lewiston, Idaho and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Lewiston and lists John Rudolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1891487997
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVING LEGACY HEALTH LLC
Location Address7717 PADDOCK LNLewiston, ID 83501-6291
Mailing Address2320 Thain Grade # 1016Lewiston, ID 83501-4115 · (208) 503-3113
Phone(208) 503-3113
Organization SubpartNo
Authorized OfficialJohn RudolphOwner · (208) 503-3113
Enumeration DateMay 25, 2023
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1891487997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
7717 PADDOCK LN, Lewiston, ID 83501
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Secondary Practice Location 1

Location 11820 Grande Ronde ctLewiston, ID 83501 · Phone (208) 503-3113

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Living Legacy Health LLC's NPI number?

The NPI number for Living Legacy Health LLC is 1891487997. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Living Legacy Health LLC located?

Living Legacy Health LLC is located at 7717 Paddock Ln, Lewiston, ID 83501. The listed phone number is (208) 503-3113.

What is Living Legacy Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Living Legacy Health LLC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.