Legacy Healthcare Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001464 Issued in CA

Legal business name

LEGACY HEALTHCARE PROVIDERS, INC.

Practice address

1272 Center Court Dr
Ste. 203
Covina, CA 91724-3667

Phone

(626) 858-5611

Fax

(626) 858-5614

NPI assigned

Dec 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mariegene Cacho, RN, BSN

Title

Administrator, Owner

Phone

(626) 858-5611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058207

Legal name

LEGACY HEALTHCARE PROVIDERS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 28, 2003

Last certification

Nov 30, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 5, 2002 in CA

Enrollment address

1272 Center Court Dr 203
Covina, CA 91724-3667

Listed as

Legacy Health Care Providers IncCCN 058207

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Oct 28, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rhoda Galinato Estrella-Itchon, M.D.

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1245233147

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1003970104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR",
            "address_2": "STE. 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "626-858-5611",
            "fax_number": "626-858-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR",
            "address_2": "STE. 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "626-858-5611",
            "fax_number": "626-858-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "CACHO",
        "authorized_official_first_name": "MARIEGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR, OWNER",
        "authorized_official_telephone_number": "626-858-5611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Yenyi Lee, PA-C
• Stephen Lee Jr.
• Sung June Lee, DO
• Yun Hee Anna Lee
• David Leflar
• Edward Lei, L.C.S.W.
• Lemar Home Health Services, Inc.
• Lemar Home Health Services, Inc.
• Erick Lemus
• Heidi Marie Lemus

• Home Health Agency in Covina, CA
• Providers in Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.