Organization Active NPI

Legacy Roots Home Care, LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1811857121
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY ROOTS HOME CARE, LLC
Practice address
3379 Peachtree Rd NE Ste 700-740
Atlanta, GA 30326-1031
Phone
(646) 239-1395
Fax
(646) 239-1395
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Kadijah Pringle-Cotterell
Title
Administrator / Owner
Phone
(646) 239-1395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3379 Peachtree Rd NE Ste 700-740
Atlanta, GA 30326-1031

Mailing address

909 Tamarron Pkwy SE
Atlanta, GA 30339-6769
Phone (646) 239-1395

National Provider Directory

National Provider Directory

Locations

3379 Peachtree Rd NE
Ste 700740
Atlanta, GA 30326
Phone (646) 239-1395

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1811857121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TAMARRON PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396769",
            "telephone_number": "646-239-1395",
            "fax_number": "646-239-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 700-740",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "646-239-1395",
            "fax_number": "646-239-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ROOTS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "PRINGLE-COTTERELL",
        "authorized_official_first_name": "KADIJAH",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "646-239-1395"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.