Active NPI
Legacy Haven Care LLC
- In Home Supportive Care Agency
- Bennington, NE
National Provider Identifier
1073427571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LEGACY HAVEN CARE LLC
- Practice address
- 17455 Samuel St
Bennington, NE 68007-1967 - Phone
- (402) 505-2664
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monetta Latrice Prince
- Title
- Owner/President
- Phone
- (816) 756-7508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
17455 Samuel St
Bennington, NE 68007-1967
Mailing address
PO Box 12332
Omaha, NE 68112-0332
Phone (402) 505-2664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1073427571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12332",
"city": "OMAHA",
"state": "NE",
"postal_code": "681120332",
"telephone_number": "402-505-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17455 SAMUEL ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071967",
"telephone_number": "402-505-2664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HAVEN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "MONETTA",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "816-756-7508"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.