Legacy Haven LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

LEGACY HAVEN LLC

Practice address

19151 Locherie Ave
Euclid, OH 44119-1409

Phone

(216) 910-8977

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Dishell Perryman

Title

Owner

Phone

(216) 910-8977

Specialties & licenses 3

Addresses

Practitioners 1

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

• Dishell Grays

  • Home Health Aide
  • Cleveland HTS, OH
  • NPI 1073113312
  NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1679331508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 SYCAMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19151 LOCHERIE AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191409",
            "telephone_number": "216-910-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "DISHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-910-8977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Lea, OTR
• Brittany Taylor Leali, LMT
• Crystal Denise Lee
• Tarika Lee
• Teresa Marie Leek, LPCC
• Legacy V Home Care Incorporated
• Legend Electronics LLC
• David Leibow, RPH
• Jane Leksan, RN
• Kelly Anne Lendzian, LPN

• Home Health Aide in Euclid, OH
• Providers in Euclid, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.