Organization Active NPI

Legacy Health Care LLC

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1689394777
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HEALTH CARE LLC
Practice address
2300 W 84TH St Ste 111
Hialeah, FL 33016-5771
Phone
(305) 530-8298
Fax
(305) 530-8466
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Lisset Melian AbreuNPI 1477335024
Title
Owner, Administrator
Phone
(305) 530-8298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2300 W 84TH St Ste 111
Hialeah, FL 33016-5771

Mailing address

2300 W 84TH St Ste 111
Hialeah, FL 33016-5771
Phone (305) 530-8298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510000558 FL Part A Provider - Home Health Agency 5294191631 Practice locations: Hialeah, FL

Home health agency certification: CCN 687305

Legal name
LEGACY HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 2024
Last certification
Feb 2, 2024
Organization structure
LLCProprietary
Enrollment address
2300 W 84TH St
Ste 111
Hialeah, FL 33016-5771
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Legacy Health Care LLCCCN 687305
Ownership
-
Certified
Feb 28, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Legacy Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lisset Melian Abreu Individual 5% Or Greater Direct Ownership Interest Apr 1, 2026 50%
Corporate OfficerMember Apr 1, 2026 50%
Corporate DirectorMember Apr 1, 2026 50%
Believeny, LLC. Organization, Miami, FL Holding company 5% Or Greater Direct Ownership Interest Apr 1, 2026 50%
Yane Hurtado Individual Corporate OfficerMember/Administrator Apr 1, 2026
Operational/Managerial Control Apr 1, 2026
Kristen Rodriguez Individual Corporate OfficerOffice Manager Oct 30, 2025
W-2 Managing Employee Oct 30, 2025
Neida Maria Bango Individual Corporate OfficerMember/Director of Nursing Apr 1, 2026
W-2 Managing EmployeeDirector of Nursing Apr 1, 2026
Operational/Managerial ControlMember/Director of Nursing Apr 1, 2026

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1689394777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 111",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "305-530-8298",
            "fax_number": "305-530-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 111",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "305-530-8298",
            "fax_number": "305-530-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MELIAN ABREU",
        "authorized_official_first_name": "LISSET",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "305-530-8298"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.