Organization Active NPI

Legacy Matters LLC

Doing business as Executive Care

  • In Home Supportive Care Agency
  • Jenkintown, PA
National Provider Identifier
1700504388
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY MATTERS LLC
Doing business as
Executive Care
Practice address
261 Old York Rd Ste 522
Jenkintown, PA 19046-3721
Phone
(215) 277-1447
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mujahid Shakur
Title
Director of Operations
Phone
(215) 277-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

261 Old York Rd Ste 522
Jenkintown, PA 19046-3721

Mailing address

146 Country Club Dr
Lansdale, PA 19446-1456
Phone (215) 989-3189

Other names 1

  • Executive Care Doing business as

National Provider Directory

National Provider Directory

Locations

261 Old York Rd
Ste 522
Jenkintown, PA 19046
Phone (215) 277-1447

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1700504388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COUNTRY CLUB DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461456",
            "telephone_number": "215-989-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 522",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463721",
            "telephone_number": "215-277-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAKUR",
        "authorized_official_first_name": "MUJAHID",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "215-277-1447"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.