Active NPI
Legacy Heart Homes LLC
- Assisted Living Facility
- Jacksonville, FL
National Provider Identifier
1801740725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LEGACY HEART HOMES LLC
- Practice address
- 7224 Ken Knight Dr E
Jacksonville, FL 32209-1212 - Phone
- (904) 572-2226
- NPI assigned
- Feb 26, 2026
- Last updated
- Feb 26, 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
- Walden Jerome Nathan
- Title
- Owner
- Phone
- (904) 572-2226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7224 Ken Knight Dr E
Jacksonville, FL 32209-1212
Mailing address
3841 Notter Ave
Jacksonville, FL 32206-6323
Phone (904) 862-1380
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1801740725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 NOTTER AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322066323",
"telephone_number": "904-862-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 KEN KNIGHT DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322091212",
"telephone_number": "904-572-2226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEART HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "NATHAN",
"authorized_official_first_name": "WALDEN",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-572-2226"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Suzanne J Leffew, MSN, APRN, FNP-C
- Shawn Jean Leftwich Jr., DPT
- Legacy Chiropractic Partners LLC (Chiro-Med Plus)
- Legacy Healthcare Services Inc
- Legacy Healthcare Services Inc
- Legacy Heirs Consumer Services Inc
- Legacy Vitality & Wellness LLC
- Joseph Legacy, M.D.
- Katelyn Edelwina Yap Legaspi, MD
- Marinella Legaspi, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.