Legacy First Healthcare Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY FIRST HEALTHCARE GROUP, LLC

Practice address

6068 Barracuda Loop
Wimauma, FL 33598-4449

Phone

(414) 233-2512

NPI assigned

Aug 1, 2026

Organization subpart

No

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

Authorized official

Name

Caroline Jacqueline Stewart

Title

Chief Executive Officer

Phone

(414) 233-2512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1083537500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 BARRACUDA LOOP",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984449",
            "telephone_number": "414-233-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 BARRACUDA LOOP",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984449",
            "telephone_number": "414-233-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FIRST HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "414-233-2512"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teana Marie Knight, APRN
• Amy Y Kwok, M.D.
• Rose Lasher, APRN
• Valerie Ann Laughlin, MA
• Nalan Carolina Lawson, RDN
• Jeffrey Lester, MD
• Charnisha Lavern Lewis, MSW, RCSWI
• Jessica Lolies, CPT
• Yulieth A Londono
• Ronsae Mallard, ARNP-C

• All providers in Wimauma, FL
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.