Lasting Legacy Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LASTING LEGACY HOME CARE LLC

Practice address

463688 State Road 200 Ste 1522
Yulee, FL 32097-0304

Phone

(904) 849-5192

NPI assigned

May 8, 2026

Organization subpart

No

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

Authorized official

Name

Henry Bolton Jr.

Title

Owner

Phone

(706) 564-1472

Specialties & licenses 1

Addresses

Other names 1

• LASTING LEGACY HOME CARE Doing business as

Locations

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1912834243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81508 BOATSWAIN CT",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320347118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 1522",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-849-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING LEGACY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-564-1472",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LASTING LEGACY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Kirkland, PTA
• Jason E Kugel, MS, LMHC, NCC
• Daniel Kuruvilla
• Cody Marie Lane, AP
• Lashonda
• Gabrielle Lawrence
• Allexia Hope Lebarron
• Thomas Lee, MS RD
• Legacy Therapeutic Solutions LLC
• Emily Lenhart, OTR/L

• In Home Supportive Care Agency in Yulee, FL
• Providers in Yulee, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.