Organization Active NPI

Legacy Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1437790193
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY CARE LLC
Practice address
111 W Port PLZ FL 6
Saint Louis, MO 63146-3011
Phone
(314) 542-3121
Fax
(314) 480-8301
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Latoya Elnora Thompson
Title
Director
Phone
(314) 542-3121

Specialties & licenses 1

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

Addresses

Primary practice location

111 W Port PLZ FL 6
Saint Louis, MO 63146-3011

Mailing address

111 W Port PLZ FL 6
Saint Louis, MO 63146-3011
Phone (314) 542-3121

National Provider Directory

National Provider Directory
Tax ID family
Legacy Care LLC2 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

111 West Port Plz
Fl 6
Saint Louis, MO 63146
Phone (314) 542-3121

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1437790193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ FL 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463011",
            "telephone_number": "314-542-3121",
            "fax_number": "314-480-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ FL 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463011",
            "telephone_number": "314-542-3121",
            "fax_number": "314-480-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "ELNORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-542-3121"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.