Legacy Care Team

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY CARE TEAM

Practice address

4109 City Point Dr Ste G
N Richland Hills, TX 76180-8339

Phone

(682) 381-0595

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Keokuk Randall

Title

Administrator

Phone

(682) 433-9476

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1013604180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 CITY POINT DR STE G",
            "city": "N RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808339",
            "telephone_number": "682-381-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 CITY POINT DR STE G",
            "city": "N RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808339",
            "telephone_number": "682-381-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KEOKUK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-433-9476"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.