Black Legacy Group LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BLACK LEGACY GROUP LLC

Practice address

1730 Graham Ave Apt 311
Saint Paul, MN 55116-3269

Phone

(612) 380-2365

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Tamika Black

Title

Owner

Phone

(612) 380-2365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1225972409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 GRAHAM AVE APT 311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163269",
            "telephone_number": "612-380-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 GRAHAM AVE APT 311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163269",
            "telephone_number": "612-380-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK LEGACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-380-2365"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Bjork, RPH
• Michelle M Bjork, CNP
• Rebecca Bjorklund
• BK Nemt LLC
• Carrie Ann Black Bourassa, RRT
• James E Black, M.D.
• Meghan T Black, DDS
• Sharon Black, PHD, LP
• Monty Blackberg
• Brian E. Blackwell, DDS

• Home Health Aide in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.