Legacy Living Care of Michigan LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY LIVING CARE OF MICHIGAN LLC

Practice address

475 Burgundy CT
Stone Mountain, GA 30087-4713

Phone

(404) 989-8279

NPI assigned

Oct 21, 2025

Organization subpart

No

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

Authorized official

Name

Shankivia Daugherty

Title

Ceo

Phone

(404) 989-8279

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1326915638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BURGUNDY CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874713",
            "telephone_number": "404-989-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BURGUNDY CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874713",
            "telephone_number": "404-989-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIVING CARE OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "SHANKIVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-989-8279"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoria Group, LLC
• Laura C Davis DDS
• Sophia Thuy VI Le
• Bianca Lee, HAIR LOSS SPECIALIST
• Shareese Leek, DPT
• Hewan Lema
• Matesha Lemon
• Juanita M. J. Lesesne
• Edward K Lewis
• Goldie Lewis

• Home Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.