Legacy Grace Support Services LLC No

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY GRACE SUPPORT SERVICES LLC NO

Practice address

26632 Yale St
Inkster, MI 48141-2546

Phone

(734) 373-3835

NPI assigned

Nov 19, 2025

Organization subpart

No

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

Authorized official

Name

Takila K Rush

Title

Owner / Managing Member

Phone

(734) 373-3835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1538020607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26632 YALE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412546",
            "telephone_number": "734-373-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26632 YALE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412546",
            "telephone_number": "734-373-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY GRACE SUPPORT SERVICES LLC NO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "TAKILA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "734-373-3835"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.