Legacy Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY HOME HEALTH CARE LLC

Practice address

220 S 47TH St Apt 403
Philadelphia, PA 19139-4431

Phone

(267) 693-0374

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Bajon Braxton

Title

President

Phone

(267) 693-0374

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1013525609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 47TH ST APT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394431",
            "telephone_number": "267-693-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 47TH ST APT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394431",
            "telephone_number": "267-693-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "BAJON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-693-0374"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Corinne Leftin Dobkin, M.D.
• Max David Lefton, PA-C
• Stewart R Leftow, MD
• Legacy Consulting Group LLC
• Legacy First Healthcare, LLC
• Legacy Living Home Care LLC
• Legacy Residential Program
• Legacy Treatment Services, Inc.
• Legacy Treatment Services, Inc.
• Olivia Sayan Legan, MD

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.