MEDICARE: LEGATO HOLDINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447986435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGATO HOLDINGS

Provider Business Mailing Address
First Line	:	3110 N CENTRAL AVE STE D160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2652
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 N CENTRAL AVE STE D160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2652
Country	:	US
Telephone Number	:	602-847-6737
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD HORNER
Credential	:
Telephone Number	:	216-413-8166

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	01/31/2025

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