Organization Active NPI

Legacy Care Connect LLC

  • Home Health Agency
  • Apple Valley, MN
National Provider Identifier
1477441533
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY CARE CONNECT LLC
Doing business as
Legacy Care Connect Llc
Practice address
15340 Floret Way
Apple Valley, MN 55124-3129
Phone
(612) 477-8669
Fax
(763) 340-6082
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mohamed Adam Adam, BA
Title
Owner
Phone
(612) 477-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15340 Floret Way
Apple Valley, MN 55124-3129

Mailing address

15340 Floret Way
Apple Valley, MN 55124-3129
Phone (612) 477-8669

Other names 1

  • Legacy Care Connect Llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1477441533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 FLORET WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243129",
            "telephone_number": "612-477-8669",
            "fax_number": "763-340-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 FLORET WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243129",
            "telephone_number": "612-477-8669",
            "fax_number": "763-340-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "MOHAMED ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-477-8669",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Care Connect Llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.