Organization Active NPI

Legacy Care Services LLC

  • In Home Supportive Care Agency
  • Cape Girardeau, MO
National Provider Identifier
1609530963
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY CARE SERVICES LLC
Practice address
294 Christine St
Cape Girardeau, MO 63703-5827
Phone
(573) 275-0286
NPI assigned
Oct 23, 2021
Last updated
Oct 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Authorized official

Name
Mashanda Reed
Title
Owner
Phone
(573) 275-0286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

294 Christine St
Cape Girardeau, MO 63703-5827

Mailing address

294 Christine St
Cape Girardeau, MO 63703-5827
Phone (573) 275-0286

National Provider Directory

National Provider Directory

Locations

294 Christine St
Cape Girardeau, MO 63703
Phone (573) 275-0286

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634947200000",
    "number": "1609530963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 CHRISTINE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035827",
            "telephone_number": "573-275-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 CHRISTINE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035827",
            "telephone_number": "573-275-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MASHANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-275-0286"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.