Legacy Home Healthcare LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

LEGACY HOME HEALTHCARE LLC

Practice address

6124 Lexington CT
VA Beach, VA 23464

Phone

(757) 551-0289

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandell Denise Cosby

Title

Owner

Phone

(757) 309-3337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1154060820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 LYNNHAVEN PKWY STE 104",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234649157",
            "telephone_number": "757-551-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 LEXINGTON CT",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23464",
            "telephone_number": "757-551-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "CHANDELL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-309-3337"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Brianna Ketner-White, LCSW
• Baya Faith Knowles
• John Leon Kordulak, DDS
• Leah Kream, D.O.
• Cynthia F Layman, P.T.
• Khaingshwe Lin, MD
• Latanya Littleton
• Carl Lucas, OTR/L
• Chad R Manke, MD
• Christopher John Maples, MD

• Home Health Aide in VA Beach, VA
• Providers in VA Beach, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.