NPI age
2 years
Enumerated 2023-05-25
● Active Type 2 · Organization
Living Legacy Health Llc
Living Legacy Health Llc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Rudolph
Owner
Last NPPES update
2024-01-02
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
2 years
↓ 15 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-05Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
7717 Paddock Ln
Lewiston, ID 835016291
Mailing address
2320 Thain Grade # 1016
Lewiston, ID 835014115
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1820 Grande Ronde Ct
Lewiston, ID 83501
Authorized official
John Rudolph, DO
Owner
📞 2085033113
Specialties
-
Family Medicine PrimaryFamily 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 MedicineA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.