Organization Active NPI

Legacy Care Services LLC

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1417772492
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY CARE SERVICES LLC
Practice address
14557 Gratiot Ave
Detroit, MI 48205-2327
Phone
(586) 351-7408
NPI assigned
Nov 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Billitta Pledger
Title
Owner
Phone
(586) 351-7408

Specialties & licenses 1

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

Addresses

Primary practice location

14557 Gratiot Ave
Detroit, MI 48205-2327

Mailing address

14557 Gratiot Ave
Detroit, MI 48205-2327
Phone (586) 351-7408

National Provider Directory

National Provider Directory

Locations

14557 Gratiot Ave
Detroit, MI 48205
Phone (313) 258-4964

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1417772492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052327",
            "telephone_number": "586-351-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052327",
            "telephone_number": "586-351-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "PLEDGER",
        "authorized_official_first_name": "BILLITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-351-7408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.