Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Legacy Support Inc

Q: What is the NPI number for Blue Legacy Support Inc?

The NPI for Blue Legacy Support Inc is 1104783315, a Type 2 (organization) record in the CMS NPPES registry.

In Home Supportive Care Agency in Fort Lauderdale, FL · enumerated 2026 · authorized official Seth Clark, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104783315

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Legacy Support Inc

Practice address 2598 E Sunrise Blvd Ste 2104, Fort Lauderdale, FL, 33304

Phone (954) 723-5422

Fax (954) 723-5401

Enumeration date Jan 8, 2026

Last updated in NPPES Jan 8, 2026

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Seth Clark

Title President

Phone (954) 723-5480

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Blue Legacy Support Inc?

NPPES lists Seth Clark (President) as the authorized official for this organization.

What is the NPI number for Blue Legacy Support Inc?

The NPI for Blue Legacy Support Inc is 1104783315, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-08.