Active NPI
Legend Home Healthcare, Inc.
- Home Health Agency
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008359
- Legal business name
- LEGEND HOME HEALTHCARE, INC.
- Practice address
- 5730 Bentley Dr
Garland, TX 75043-5460 - Phone
- (214) 328-6200
- Fax
- (214) 328-6210
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 22, 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
- Mrs. Christiana O Nwamuo, REGISTERED NURSE
- Title
- Adminstrator
- Phone
- (214) 328-6200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008359 | TX | Primary |
Addresses
Primary practice location
5730 Bentley Dr
Garland, TX 75043-5460
Mailing address
5730 Bentley Dr
Garland, TX 75043-5460
Phone (214) 328-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030422000042 | TX | Part A Provider - Home Health Agency | 0547179343 | Practice locations: Garland, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295773950. Details of each certification follow.
Home health agency certification: CCN 679323
- Legal name
- LEGEND HOME HEALTHCARE, INC.
- Doing business as
- LEGEND HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 19, 2003
- Last certification
- Aug 18, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 28, 2002 in TX
- Enrollment address
- 5730 Bentley Dr
Garland, TX 75043-5460
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Legend Home Healthcare Inc
- Ownership
- Proprietary
- Certified
- Aug 19, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1010007 | Legend Home Healthcare Inc | Certificate of waiver | Oct 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
8035 E R L Thornton Fwy
Ste 302
Dallas, TX 75228
Phone (214) 328-6200
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Christiana Ogechi Nwamuo | Corporate Officer | Jul 5, 2019 | |
| Christian Nwamuo | 5% Or Greater Direct Ownership Interest | Jul 5, 2019 | 100% |
| Operational/Managerial Control | Jul 5, 2019 | 100% |
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.
-
- Hospice Registered Nurse
- Garland, TX
- NPI 1124616180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295773950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 BENTLEY DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435460",
"telephone_number": "214-328-6200",
"fax_number": "214-328-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 BENTLEY DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435460",
"telephone_number": "214-328-6200",
"fax_number": "214-328-6210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGEND HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NWAMUO",
"authorized_official_first_name": "CHRISTIANA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "214-328-6200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.