Legacy Home Health LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY HOME HEALTH LLC

Practice address

2631 Treehouse LN
Lawrenceville, GA 30044-2580

Phone

(904) 554-4684

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Cierra S Billingslea, RN

Title

Ceo

Phone

(904) 554-4684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1174274245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 TREEHOUSE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442580",
            "telephone_number": "904-554-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 TREEHOUSE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442580",
            "telephone_number": "904-554-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEA",
        "authorized_official_first_name": "CIERRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-554-4684",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seunghyeon Lee
• Trevin Markell Lee
• Jennifer Leech, NP
• Leela S. Maxa MD, LLC
• Legacy Brain & Spine LLC
• Jorge Pedro Leguizamo, M.D.
• Stephen F Legum, MD
• Lan Lei, MD
• Leslie Dennis Leigh, M.D.
• Michelle Marie Leiva, PA-C

• In Home Supportive Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• In Home Supportive Care Agency in Georgia

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