# BLUE LEGACY SUPPORT INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Amada Senior Care North Fort Lauderdale FL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104783315
- **Authorized official:** SETH CLARK (PRESIDENT)
- **Authorized official phone:** (954) 723-5480

## Contact information

- **Practice address:** 2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
- **Practice address phone:** (954) 723-5422
- **Practice address fax:** (954) 723-5401
- **Mailing address:** 2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
- **Mailing address phone:** (954) 723-5422
- **Mailing address fax:** (954) 723-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2026
- **Last updated:** 01/08/2026