Legacy Generation Incorporated

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY GENERATION INCORPORATED

Practice address

5960 Fairview Rd
Suite 400
Charlotte, NC 28210-3119

Phone

(704) 764-1818

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Maurice A Barnes

Title

President

Phone

(704) 764-1819

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• My Family's Home Care Doing business as

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1336446665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 PARKLEIGH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624461",
            "telephone_number": "704-764-1818",
            "fax_number": "704-764-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "704-764-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY GENERATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-764-1819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHSR",
            "identifier": "HC4364",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Family's Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith S. Leftwich, CRNA
• Ronica Leftwich, M.S., CCC-SLP
• Shena Leftwich, BSRT, RRT-RCP
• Legacy Empowerment Services
• Legacy Freedom Treatment Center
• Legacy Healthcare Services
• Legacy Healthcare Services
• Legacy Healthcare Services
• Legacy Healthcare Services Inc
• Legacy Heart Care of Charlotte, LLC

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.