Life Legacy 2023 Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE LEGACY 2023 INC

Doing business as

Life Legacy Home Care Services

Practice address

3173 Tranquility Way
Lawrenceville, GA 30044-4724

Phone

(404) 482-7898

NPI assigned

Jan 10, 2024

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sudhaben Patel

Title

Owner, President

Phone

(404) 482-7898

Specialties & licenses 1

Addresses

Other names 1

• Life Legacy Home Care Services Doing business as

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1417728320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 TRANQUILITY WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 TRANQUILITY WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444724",
            "telephone_number": "404-482-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LEGACY 2023 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUDHABEN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "404-482-7898"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Legacy Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.