Organization Active NPI

Legend Home Healthcare, Inc.

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1295773950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008359 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christiana O Nwamuo, REGISTERED NURSENPI 1124616180
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 679323 · All quality measures
Ownership
Proprietary
Certified
Aug 19, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1010007Legend Home Healthcare Inc5730 Bentley Drive, Garland, TX 75043Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Christiana Ogechi Nwamuo Individual Corporate Officer Jul 5, 2019
Christian Nwamuo Individual 5% Or Greater Direct Ownership InterestOwner Jul 5, 2019 100%
Operational/Managerial ControlAdminiistrator 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.

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

Verify at the official NPI Registry.