Organization Active NPI

Legacy Compassionate Care LLC

  • In Home Supportive Care Agency
  • Statesville, NC
National Provider Identifier
1649185927
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY COMPASSIONATE CARE LLC
Practice address
134 Hampton Glen Dr
Statesville, NC 28625-8346
Phone
(980) 458-2952
Fax
(980) 223-2759
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Audrey Roseboro
Title
Administrator
Phone
(336) 721-8395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

134 Hampton Glen Dr
Statesville, NC 28625-8346

Mailing address

PO Box 16
Scotts, NC 28699-0016
Phone (980) 458-2952

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1649185927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "SCOTTS",
            "state": "NC",
            "postal_code": "286990016",
            "telephone_number": "980-458-2952",
            "fax_number": "980-223-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HAMPTON GLEN DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258346",
            "telephone_number": "980-458-2952",
            "fax_number": "980-223-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMPASSIONATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "ROSEBORO",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-721-8395"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

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