Organization Active NPI

Legacy V Home Care Incorporated

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1942803879
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY V HOME CARE INCORPORATED
Practice address
25701 N Lakeland Blvd Ste 113D
Euclid, OH 44132-2451
Phone
(216) 849-1379
NPI assigned
Nov 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Ms. Latasha S Bolden, MHA
Title
Ceo
Phone
(216) 633-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25701 N Lakeland Blvd Ste 113D
Euclid, OH 44132-2451

Mailing address

25701 N Lakeland Blvd Ste 113D
Euclid, OH 44132-2451

Other identifiers 1

IdentifierTypeStateIssuer
0304723MedicaidOH

National Provider Directory

National Provider Directory

Locations

17325 Euclid Ave
Ste 3030
East Cleveland, OH 44112
Phone (216) 849-1379

25701 N Lakeland Blvd
Ste 113D
Euclid, OH 44132

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1942803879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 113D",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 113D",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322451",
            "telephone_number": "216-849-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY V HOME CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-633-5757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.