Active NPI
Legacy Comfort Care LLC
- In Home Supportive Care Agency
- St Augustine, FL
National Provider Identifier
1790695997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LEGACY COMFORT CARE LLC
- Practice address
- 302 Syrah Way
St Augustine, FL 32084-2583 - Phone
- (904) 755-9424
- NPI assigned
- Sep 9, 2026
- 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
- Ms. Lakisha Rivers
- Title
- Owner
- Phone
- (904) 755-9424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
302 Syrah Way
St Augustine, FL 32084-2583
Mailing address
302 Syrah Way
St Augustine, FL 32084-2583
Phone (904) 755-9424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1790695997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 SYRAH WAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842583",
"telephone_number": "904-755-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 SYRAH WAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842583",
"telephone_number": "904-755-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY COMFORT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "RIVERS",
"authorized_official_first_name": "LAKISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-755-9424",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.