Legacy Home Health Agency LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LEGACY HOME HEALTH AGENCY LLC

Practice address

750 S Orange Blossom TRL Ste 116
Orlando, FL 32805-3154

Phone

(407) 906-3022

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Alice Laverne Ratnaswamy, PROVIDER

Title

Director/Ceo

Phone

(407) 600-8554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851812481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053154",
            "telephone_number": "407-906-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053154",
            "telephone_number": "407-906-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RATNASWAMY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "407-600-8554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672186",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Alliance Incorporated
• Legacy Care Companions LLC.
• Legacy Care Solutions
• Legacy Care Transportation LLC
• Legacy Family Medicine LLC
• Legacy Non-Emergency Medi Transport
• Legacy Park Discount Pharmacy
• Legacy Park Discount Pharmacy
• Legacy Smiles of Orlando
• Legacy V Medical

• Developmental Disabilities Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.