Organization Active NPI

Legacy Home Care Services

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1376997932
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY HOME CARE SERVICES
Practice address
2489 NW 7TH St
Miami, FL 33125-3150
Phone
(305) 591-1818
Fax
(305) 402-8111
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Meghan Goicouria
Title
Administrator
Phone
(305) 591-1818

Specialties & licenses 1

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

Addresses

Primary practice location

2489 NW 7TH St
Miami, FL 33125-3150

Mailing address

2489 NW 7TH St
Miami, FL 33125-3150
Phone (305) 591-1818

Other identifiers 1

IdentifierTypeStateIssuer
30211940OtherFLAHCA

Other names 1

  • Granny Nannies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Granny Nannies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

299 Alhambra Cir
Ste 521
Coral Gables, FL 33134

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1376997932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253150",
            "telephone_number": "305-591-1818",
            "fax_number": "305-402-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253150",
            "telephone_number": "305-591-1818",
            "fax_number": "305-402-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GOICOURIA",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-591-1818"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30211940",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granny Nannies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granny Nannies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.