Legacy Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY CARE LLC

Practice address

111 W Port PLZ FL 6
Saint Louis, MO 63146-3011

Phone

(314) 542-3121

Fax

(314) 480-8301

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Latoya Thompson

Title

Director

Phone

(314) 542-3121

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Legacy Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1437790193
  NPD tax ID

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1316454952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ FL 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463011",
            "telephone_number": "314-542-3121",
            "fax_number": "314-480-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ FL 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463011",
            "telephone_number": "314-542-3121",
            "fax_number": "314-480-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-542-3121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie A Lefevre, M.D.
• Shannon Marie Lefler, AUD
• Stephen S Lefrak, MD
• Bailey Ann Leftwich, PA
• Legacy Care in Home Services LLC
• Legacy Care LLC
• Legacy Consumer Directed Services LLC
• Legacy Counseling and Consulting Services, LLC
• Legacy Healthcare Services, Inc
• Legacy Home Care LLC

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.