Organization Active NPI

Legacy Small Family Home

  • Nursing Care Agency
  • Riverside, CA
National Provider Identifier
1104615467
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
LEGACY SMALL FAMILY HOME
Practice address
3950 Reynolds Rd
Riverside, CA 92503-3517
Phone
(951) 358-4466
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Monique Leonard, RNNPI 1699663294
Title
Registered Nurse
Phone
(562) 253-9674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

3950 Reynolds Rd
Riverside, CA 92503-3517

Mailing address

2320 Rivendell Rd
Perris, CA 92570-2708
Phone (562) 253-9674

Other practice location 1

2320 Rivendell Rd
Perris, CA 92570-2708
Phone (562) 253-9674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1104615467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 RIVENDELL RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702708",
            "telephone_number": "562-253-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 REYNOLDS RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033517",
            "telephone_number": "951-358-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Rivendell Rd",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925702708",
            "country_code": "US",
            "telephone_number": "562-253-9674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY SMALL FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "562-253-9674",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.