Organization Active NPI

Legacy Home Health Services LLC

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1104648146
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HOME HEALTH SERVICES LLC
Practice address
3408 W 84TH St Ste 214
Hialeah, FL 33018-4942
Phone
(786) 536-7128
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Gary Manuel Galvez
Title
Ceo
Phone
(305) 878-3196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3408 W 84TH St Ste 214
Hialeah, FL 33018-4942

Mailing address

3408 W 84TH St Ste 214
Hialeah, FL 33018-4942
Phone (786) 536-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722000680 FL Part A Provider - Home Health Agency 2860908316 Practice locations: Hialeah, FL

Home health agency certification: CCN 687435

Legal name
LEGACY HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 2026
Last certification
Feb 3, 2026
Organization structure
LLCProprietary
Enrollment address
3408 W 84TH St
Ste 214
Hialeah, FL 33018-4942

National Provider Directory

National Provider Directory

Locations

3408 W 84th St
Ste 214
Hialeah, FL 33018
Phone (786) 536-7128

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martha C Acero Vega Individual 5% Or Greater Direct Ownership InterestMember Jul 18, 2024 50%
W-2 Managing EmployeeAd; Mar 3, 2025 100%
Gary Galvez Individual 5% Or Greater Direct Ownership InterestMember Jul 18, 2024 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1104648146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 214",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184942",
            "telephone_number": "786-536-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 214",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184942",
            "telephone_number": "786-536-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-878-3196"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.