Organization Active NPI

Legacy Home Care LLC

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1235757832
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LEGACY HOME CARE LLC
Practice address
1100 Mona Dr
Saint Louis, MO 63130-2130
Phone
(314) 283-1858
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Aquira Yvonne Laskley
Title
Executive Director
Phone
(142) 831-8583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1100 Mona Dr
Saint Louis, MO 63130-2130

Mailing address

1100 Mona Dr
Saint Louis, MO 63130-2130
Phone (314) 283-1858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1235757832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MONA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302130",
            "telephone_number": "314-283-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MONA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302130",
            "telephone_number": "314-283-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "LASKLEY",
        "authorized_official_first_name": "AQUIRA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "142-831-8583"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.