Active NPI
Our Legacy of Love LLC
- In Home Supportive Care Agency
- Wilson, NC
National Provider Identifier
1922921378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 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
- Ms. Avis Mitchell
- Title
- Director
- Phone
- (252) 886-5711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Once More, LLC
- Onestop Therapeutics and Support Services, PLLC
- Opportunities Industrialization of Wilson, Incorporated
- Gabriela Isabel Oquendo-Claudio, MD
- Cara Orduno, MSW, QP, LCSWA
- Dolphin H Overton III III, MD
- Claire Renee Owens, P.A.
- Laura Williford Owens, PHARMD
- Ericka Deanna Packer, PTA
- Lindsay McCray Page, PHARMD
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.