Legacy Life Care Programs is a In Home Supportive Care Agency based in Columbia, TN. Legacy Life Care Programs practices in Brentwood, TN. The NPI Number for Legacy Life Care Programs is 1962746842 and holds a License No. 1000000011378 (Tennessee).
The current practice location address for Legacy Life Care Programs is 1661 Mallory Ln, Brentwood, TN and can be reached out via phone at 931-626-1644 and via fax at 931-381-5363.
Location: 1661 Mallory Ln, Brentwood, TN, 38401-4704
Provider Profile Details
NPI Number
1962746842
Provider Name
Legacy Life Care Programs
Credential
Provider Entity Type
Organization
Address
1661 Mallory Ln, Brentwood, TN, 38401-4704
Phone Number
931-626-1644
Fax Number
931-381-5363
Provider Enumeration Date
11/16/2012
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445654 | 05 | TN | |
| Q010864 | 05 | TN | |
| 1962746842 | 01 | TN | GROUP NPI |
| 1437420742 | 05 | TN | |
| NPI 1265768428 | 01 | TN | SUPERVISOR |
| 1225450802 | 01 | TN | INDIVIDUAL PROVIDER NPI |
| 1669548608 | 01 | TN | SUPERVISING PROVIDER NPI |
| Q006613 | 05 | TN |
Provider Business Practice Location Address Details
Address
1661 Mallory Ln
City
State
Zip
37027-7931
Phone Number
931-626-1644
Fax Number
931-381-5363
Provider Business Mailing Address Details
Address
1661 Mallory Ln
City
State
Zip
37027-7931
Phone Number
931-626-1644
Fax Number
931-381-5363
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1000000011378 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1000000011378 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
License No.
1000000011378 (Tennessee)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
1000000011378 (Tennessee)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
1000000018345 (Tennessee)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 6
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
LPC00000003314 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
1000000011378 (Tennessee)
Definition
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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