Organization Active NPI

Legacy Home Health Care Inc.

Doing business as Legacy Outpatient Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Keystone Heights, FL
National Provider Identifier
1194529826
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LEGACY HOME HEALTH CARE INC.
Doing business as
Legacy Outpatient Therapy
Practice address
7384 State Road 21, Keystone Heights, FL 32656
Keystone Heights, FL 32656
Phone
(352) 478-7030
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY HOME HEALTH CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Kameron Kilpatrick, PT
Title
Clinical Director
Phone
(352) 478-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

7384 State Road 21, Keystone Heights, FL 32656
Keystone Heights, FL 32656

Mailing address

7384 State Road 21, Keystone Heights, FL 32656
Keystone Heights, FL 32656
Phone (352) 478-7030

Other names 1

  • Legacy Outpatient Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Legacy Home Health Care Inc

Locations

7384 State Road 21
Keystone Heights, FL 32656
Phone (352) 478-7030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1194529826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 STATE ROAD 21, KEYSTONE HEIGHTS, FL 32656",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "32656",
            "telephone_number": "352-478-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7384 STATE ROAD 21, KEYSTONE HEIGHTS, FL 32656",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "32656",
            "telephone_number": "352-478-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY HOME HEALTH CARE INC.",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "352-478-7030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keystone Heights, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.