NPIMap

Organization Active NPI

Legacy Home Health Care

  • Home Health Agency
  • Keystone Heights, FL
National Provider Identifier
1477067502
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994720 Issued in FL
Legal business name
LEGACY HOME HEALTH CARE
Practice address
445 S Lawrence Blvd
Keystone Heights, FL 32656-9222
Phone
(352) 478-7030
Fax
(352) 478-7035
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Elizabeth Murphy, RN
Title
Owner
Phone
(352) 478-7030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994720 FL Primary
Home Infusion Agency 251F00000X 299994720 FL

Addresses

Primary practice location

445 S Lawrence Blvd
Keystone Heights, FL 32656-9222

Mailing address

7384 State Road 21 Keystone Heights, FL 32656
Keystone Heights, FL 32656
Phone (523) 478-7030

Other identifiers 1

IdentifierTypeStateIssuer
299994720OtherFLHOME HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806002775 FL Part A Provider - Home Health Agency 3173850658 Practice locations: Keystone Heights, FL

Home health agency certification: CCN 687027

Legal name
LEGACY HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 27, 2019
Last certification
Nov 27, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 26, 2017 in FL
Enrollment address
7384 State Road 21
Keystone Heights, FL 32656-7840

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Legacy Home Health Care IncCCN 687027
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 27, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2138233Legacy Home Health Care445 S Lawrence Blvd, Keystone Heights, FL 32656Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Legacy Home Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7384 State Road 21
Keystone Heights, FL 32656
Phone (352) 478-7030

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Murphy Individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 49%
Elizabeth Murphy Individual 5% Or Greater Direct Ownership Interest Jul 26, 2017 51%
W-2 Managing EmployeeAdministrator, President Jul 26, 2017 51%

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1477067502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 STATE ROAD 21 KEYSTONE HEIGHTS, FL 32656",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "32656",
            "telephone_number": "523-478-7030",
            "fax_number": "352-478-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569222",
            "telephone_number": "352-478-7030",
            "fax_number": "352-478-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-478-7030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994720",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "FL",
            "license": "299994720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "299994720",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone Heights, FL

Sources for this page

Verify at the official NPI Registry.