Active NPI
The Legacy at Home, Inc.
- Community Based Hospice Care Agency
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- THE LEGACY AT HOME, INC.
- Practice address
- 6101 Ohio Dr Ste 100
Plano, TX 75024-2722 - Phone
- (972) 244-7700
- Fax
- (972) 244-7701
- NPI assigned
- Mar 16, 2018
- 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
- Jessica Haecker
- Title
- Executive Director
- Phone
- (972) 244-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6101 Ohio Dr Ste 100
Plano, TX 75024-2722
Mailing address
6101 Ohio Dr Ste 100
Plano, TX 75024-2722
Phone (972) 244-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018775 | Other | TX | AGENCY PARENT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180817001849 | TX | Part A Provider - Hospice | 6406032853 | Practice locations: Plano, TX |
Hospice certification: CCN 741795
- Legal name
- THE LEGACY AT HOME, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 12, 2019
- Last certification
- Mar 23, 2022
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Feb 3, 2010 in TX
- Enrollment address
- 6101 Ohio Dr
Ste 100
Plano, TX 75024-2722
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- The Legacy at Home Inc
- Ownership
- Non-Profit
- Certified
- Apr 12, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- The Legacy at Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Plano, TX
- NPI 1225349376
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Cary Rossel | Other | Mar 1, 2018 | |
| Maddy Unterberg | Other | Oct 1, 2018 | |
| Helen Edith Risch | Other | Mar 1, 2018 | |
| Robert Rosen | Other | Mar 1, 2018 | |
| Elizabeth M Liener | Other | Nov 1, 2020 | |
| Fraser Marcus | Other | Oct 1, 2012 | |
| Melissa Orth | Other | Mar 1, 2018 | |
| Doris Haymann | Other | Mar 1, 2018 | |
| Irving Prengler | Other | Nov 1, 2020 | |
| David H Eisenberg | Other | Mar 1, 2018 | |
| Terry Purchal | Corporate Officer | Oct 1, 2019 | |
| Shirley Davidoff | Other | Aug 1, 2021 | |
| Ruthy Rosenberg | Other | Nov 1, 2020 | |
| Jessica Haecker | W-2 Managing Employee | Oct 29, 2018 | |
| The Legacy at Home, Inc. | Operational/Managerial Control | May 3, 2010 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Legacy at Home | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 22, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Plano, TX
- NPI 1225349376
5% Or Greater Direct Ownership Interest
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Plano, TX
- NPI 1245626852
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1073526125
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1801399787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 OHIO DR STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750242722",
"telephone_number": "972-244-7700",
"fax_number": "972-244-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 OHIO DR STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750242722",
"telephone_number": "972-244-7700",
"fax_number": "972-244-7701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LEGACY AT HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-16",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "HAECKER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "972-244-7700"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY PARENT LICENSE",
"identifier": "018775",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.