Organization Active NPI

Our Legacy of Love LLC

  • In Home Supportive Care Agency
  • Wilson, NC
National Provider Identifier
1922921378
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OUR LEGACY OF LOVE LLC
Practice address
2403 Wooten Blvd SW Ste F
Wilson, NC 27893-4463
Phone
(252) 886-5711
NPI assigned
Aug 3, 2026
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Ms. Avis Mitchell
Title
Director
Phone
(252) 886-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2403 Wooten Blvd SW Ste F
Wilson, NC 27893-4463

Mailing address

2403 Wooten Blvd SW Ste F
Wilson, NC 27893-4463
Phone (252) 886-5711

National Provider Directory

National Provider Directory

Locations

2403 Wooten Blvd SW
Ste F
Wilson, NC 27893

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1922921378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934463",
            "telephone_number": "252-886-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934463",
            "telephone_number": "252-886-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LEGACY OF LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AVIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-886-5711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.