Legacy Dream House Inc

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

LEGACY DREAM HOUSE INC

Practice address

210 Mimosa Dr
Palatka, FL 32177-6425

Phone

(386) 546-6049

NPI assigned

Jul 30, 2026

Organization subpart

No

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

Authorized official

Name

Darrenton K Harris Sr., BBA,MBA

Title

President

Phone

(386) 546-6049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1689597486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MIMOSA DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776425",
            "telephone_number": "386-546-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MIMOSA DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776425",
            "telephone_number": "386-546-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DREAM HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DARRENTON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-546-6049",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BBA,MBA"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ellen Lang, MS, BCBA
• Linh Le, MD
• Andrea Leary
• Jameshia S Lee
• Yeongsoon K Lee, PHARMD
• Legacy Home Health Care Inc
• Louis Legum, PHD.
• John M Lennon Jr., OD
• Vincent Michael Leth Jr., D.M.D.
• Angelina Heiser Lewis, ARNP

• Attendant Care Provider in Palatka, FL
• Providers in Palatka, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.