Active NPI
Legacy Home Health Services LLC
- Home Health Agency
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 3408 W 84TH St
Ste 214
Hialeah, FL 33018-4942
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Martha C Acero Vega | 5% Or Greater Direct Ownership Interest | Jul 18, 2024 | 50% |
| W-2 Managing Employee | Mar 3, 2025 | 100% | |
| Gary Galvez | 5% Or Greater Direct Ownership Interest | 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.
-
- Physical Therapist
- Miami, FL
- NPI 1619153327
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Miami, FL
- NPI 1619153327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.