Legacy Life Wellness Center LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

LEGACY LIFE WELLNESS CENTER LLC

Practice address

2183 Lisa Dr
Columbus, OH 43219-2035

Phone

(614) 206-3204

NPI assigned

Apr 1, 2026

Organization subpart

No

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

Authorized official

Name

Ayanna Loude

Title

Ceo

Phone

(614) 206-3204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1497695035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 LISA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192035",
            "telephone_number": "614-206-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 LISA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192035",
            "telephone_number": "614-206-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIFE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LOUDE",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-206-3204"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legacy Group Homes Services LLC
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• Legacy Medical Network LLC
• Legacy Nurse Practitioners Mobile Healthcare, LLC
• Shannan D Legair
• Benjamin Leger-St-Jean, M.D.
• Vanessa Leger

• Community Health Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.