Active NPI
Legacy Home Care LLC
- Home Health Aide
- Saint Louis, MO
National Provider Identifier
1235757832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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 DirectoryNPI 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.