Organization Active NPI

Legacy Holdings and Ventures LLC

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1538656459
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HOLDINGS AND VENTURES LLC
Practice address
6400 Manatee Ave W Ste L106
Bradenton, FL 34209-2364
Phone
(813) 355-8584
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Eddie Castro
Title
Coo
Phone
(813) 355-8584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6400 Manatee Ave W Ste L106
Bradenton, FL 34209-2364

Mailing address

6400 Manatee Ave W Ste L106
Bradenton, FL 34209-2364
Phone (813) 355-8584

Other names 1

  • Total Care Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216002537 FL Part A Provider - Home Health Agency 1850725375 Practice locations: Bradenton, FL

Home health agency certification: CCN 687275

Legal name
LEGACY HOLDINGS AND VENTURES LLC
Doing business as
TOTAL CARE HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 15, 2022
Last certification
Nov 30, 2022
Organization structure
LLCProprietary
Enrollment address
6400 Manatee Ave W
Ste L106
Bradenton, FL 34209-2364

Care Compare: Home health agency

Medicare Care Compare
Listed as
Total Care Home Health AgencyCCN 687275
Ownership
-
Certified
Dec 15, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2272096Total Care Home Health Agency6400 Manatee Ave, Bradenton, FL 34209Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

6400 Manatee Ave W
Ste L106
Bradenton, FL 34209
Phone (813) 355-8584

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
HHC R6 LLC Organization, Tampa, FL LLC 5% Or Greater Direct Ownership Interest Aug 25, 2021 100%
Moshe Soskin Individual Corporate Officer Aug 25, 2021
W-2 Managing Employee Aug 25, 2021 100%
Charlene Anglin Individual 5% Or Greater Direct Ownership Interest Apr 11, 2025
Corporate Officer Apr 11, 2025 100%
W-2 Managing Employee Apr 11, 2025 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1538656459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W STE L106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092364",
            "telephone_number": "813-355-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W STE L106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092364",
            "telephone_number": "813-355-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOLDINGS AND VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-355-8584"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Care Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.