# LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588695795
- **Authorized official:** MR. GREG CRAWFORD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (859) 441-8876

## Contact information

- **Practice address:** 800 BROADWAY ST, PADUCAH, KY 42001-6808
- **Practice address phone:** (270) 442-7887
- **Practice address fax:** (270) 442-7897
- **Mailing address:** 1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
- **Mailing address phone:** (859) 441-8876
- **Mailing address fax:** (270) 442-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | MG0539 | KY | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | MG 0539 | KY | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MG0539 | KY | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/04/2021