Legacy Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY CARE HOME

Practice address

14814 Crown Dr
Minnetonka, MN 55345-3601

Phone

(612) 964-8376

Fax

(763) 201-5991

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Stephanie Fryer, LALD

Title

Director of Operations

Phone

(763) 300-7875

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Legacy Care Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Arlington Place Assisted Living

  • Assisted Living Facility
  • Saint Joseph, MN
  • NPI 1629915400
  NPD tax ID
• Legacy Care Home

  • Assisted Living Facility
  • Golden Valley, MN
  • NPI 1174452122
  NPD tax ID
• Legacy Care Home

  • Assisted Living Facility
  • Minnetonka, MN
  • NPI 1992634943
  NPD tax ID
• Serenity Village Assisted Living

  • Assisted Living Facility
  • Avon, MN
  • NPI 1245177021
  NPD tax ID
• The Watkins House

  • Assisted Living Facility
  • Watkins, MN
  • NPI 1629915145
  NPD tax ID

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1538098579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14814 CROWN DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453601",
            "telephone_number": "612-964-8376",
            "fax_number": "763-201-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14814 CROWN DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453601",
            "telephone_number": "612-964-8376",
            "fax_number": "763-201-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "763-300-7875",
        "authorized_official_credential": "LALD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "M998147500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawon Enoch Lee
• Eunju Lee
• Justin Lee, DC
• Kaitlyn Deanne Lee
• PA Lee
• Legacy Care Home
• Kylie Nicole Legate
• Talia Lehmann
• Inna Lehrer, FNP-C
• Lehrke Therapeutic Services LLC

• All providers in Minnetonka, MN
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.