Organization Active NPI

Legacy Harbor

  • In Home Supportive Care Agency
  • San Jacinto, CA
National Provider Identifier
1346189362
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY HARBOR
Practice address
496 Sparrow LN
San Jacinto, CA 92582-6970
Phone
(901) 297-0393
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Julius Watts
Title
Owner
Phone
(901) 297-0393

Specialties & licenses 1

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

Addresses

Primary practice location

496 Sparrow LN
San Jacinto, CA 92582-6970

Mailing address

496 Sparrow LN
San Jacinto, CA 92582-6970
Phone (901) 297-0393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1346189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SPARROW LN",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925826970",
            "telephone_number": "901-297-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SPARROW LN",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925826970",
            "telephone_number": "901-297-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-297-0393"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.