Organization Active NPI

Pure Legacy in-Home Care Assistance LLC

  • In Home Supportive Care Agency
  • Lebanon, TN
National Provider Identifier
1336018837
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PURE LEGACY IN-HOME CARE ASSISTANCE LLC
Practice address
1717 Cherokee Dr
Lebanon, TN 37087-3011
Phone
(615) 499-8989
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Shantrena Reynolds
Title
Owner
Phone
(615) 499-8989

Specialties & licenses 1

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

Addresses

Primary practice location

1717 Cherokee Dr
Lebanon, TN 37087-3011

Mailing address

1717 Cherokee Dr
Lebanon, TN 37087-3011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1336018837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CHEROKEE DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CHEROKEE DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873011",
            "telephone_number": "615-499-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LEGACY IN-HOME CARE ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SHANTRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-499-8989"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.