Active NPI
Legacy Health Care LLC
- Home Health Agency
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisset Melian Abreu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 2300 W 84TH St
Ste 111
Hialeah, FL 33016-5771
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Legacy Health Care LLC
- Ownership
- -
- Certified
- Feb 28, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Hialeah, FL
- NPI 1427927169
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lisset Melian Abreu | 5% Or Greater Direct Ownership Interest | Apr 1, 2026 | 50% |
| Corporate Officer | Apr 1, 2026 | 50% | |
| Corporate Director | Apr 1, 2026 | 50% | |
| Believeny, LLC. | 5% Or Greater Direct Ownership Interest | Apr 1, 2026 | 50% |
| Yane Hurtado | Corporate Officer | Apr 1, 2026 | |
| Operational/Managerial Control | Apr 1, 2026 | ||
| Kristen Rodriguez | Corporate Officer | Oct 30, 2025 | |
| W-2 Managing Employee | Oct 30, 2025 | ||
| Neida Maria Bango | Corporate Officer | Apr 1, 2026 | |
| W-2 Managing Employee | Apr 1, 2026 | ||
| Operational/Managerial Control | 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.
-
- Contractor
- Hialeah, FL
- NPI 1427927169
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hialeah, FL
- NPI 1477335024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.