Organization Active NPI

Legacy Care Ventures LLC

  • In Home Supportive Care Agency
  • East Haven, CT
National Provider Identifier
1104745447
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY CARE VENTURES LLC
Practice address
330 Main St
East Haven, CT 06512-2920
Phone
(203) 935-8545
Fax
(973) 637-4478
NPI assigned
Jul 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Mr. Jose Bautista Dacuycuy III, RN
Title
Managing Partner and Owner
Phone
(203) 935-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

330 Main St
East Haven, CT 06512-2920

Mailing address

130 Ford St
Milford, CT 06461-2550
Phone (203) 935-8545

National Provider Directory

National Provider Directory

Locations

330 Main St
East Haven, CT 06512

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1104745447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FORD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612550",
            "telephone_number": "203-935-8545",
            "fax_number": "973-637-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122920",
            "telephone_number": "203-935-8545",
            "fax_number": "973-637-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "DACUYCUY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "MANAGING PARTNER AND OWNER",
        "authorized_official_telephone_number": "203-935-8545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.