Organization Active NPI

TD Legacy Home Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1295655595
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TD LEGACY HOME CARE LLC
Practice address
4818 N Hills LN
Saint Louis, MO 63121-1032
Phone
(314) 372-9930
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Terrya Johnson
Title
Manager Member
Phone
(314) 372-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4818 N Hills LN
Saint Louis, MO 63121-1032

Mailing address

4818 N Hills LN
Saint Louis, MO 63121-1032
Phone (314) 372-9930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1295655595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 N HILLS LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211032",
            "telephone_number": "314-372-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 N HILLS LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211032",
            "telephone_number": "314-372-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD LEGACY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRYA",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "314-372-9930"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 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.