Legacy Care LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY CARE LLC.

Doing business as

Legacy Affordable Care
Legacy Residential Care Home

Practice address

9125 S Sheridan Rd Ste 105
Tulsa, OK 74133-5330

Phone

(918) 378-9258

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Lockett, ADMNPI 1386066272

Title

Administrator

Phone

(918) 378-9258

Specialties & licenses 2

Addresses

Other names 2

• Legacy Affordable Care Doing business as
• Legacy Residential Care Home Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Lockett

  • Case Manager/Care Coordinator
  • Tulsa, OK
  • NPI 1386066272
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1073195673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 E 91ST PL APT 3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335395",
            "telephone_number": "918-378-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 S SHERIDAN RD STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335330",
            "telephone_number": "918-378-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-378-9258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADM"
    },
    "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": [
        {
            "organization_name": "Legacy Affordable Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Residential Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Lea Leek
• Deril J Lees Sr., PHARMD
• Willene Leffall, MPA
• Ashley R Leflore, PH.D.
• Legacy Care
• Legacy Family Intervention Services, Inc.
• Legacy Healthcare Services Inc
• Legacy Medical Supply
• Ashley Linn Legg, P.A.-C.
• Korey Legnon

• In Home Supportive Care Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• In Home Supportive Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.