Legacy Path Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEGACY PATH HOME CARE LLC

Practice address

6030 W Riviera Dr
Glendale, AZ 85304-2520

Phone

(602) 772-7051

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Ahmed DfaallaNPI 1629467683

Title

Ceo

Phone

(602) 772-7051

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Mohamed Dfaalla

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
  • NPI 1629467683
  NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1376401885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 W RIVIERA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042520",
            "telephone_number": "602-772-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 W RIVIERA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042520",
            "telephone_number": "602-772-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PATH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "DFAALLA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-772-7051"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald F. Lefevre II, D.O.
• Erica Jo Leffler, LMSW
• Jesse Lefrancois
• Legacy Dental Group
• Legacy of Love Home Care, LLC
• Legaspi Management Services, LLC
• Legends Family Dental Center
• Jack Lehman
• Stefanie A Lein, PHARM D
• Daniela Leka

• In Home Supportive Care Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.