Living Legacy Health LLC
NPI 1891487997ActiveOrganization· Family Medicine· Lewiston, ID
Family Medicine in Lewiston, Idaho, registered in NPPES in May 2023. The authorized official on file is John Rudolph, DO, Owner.
Overview
| NPI | 1891487997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2023 |
| Last updated in NPPES | Jan 2, 2024 |
| Certified by provider | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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