MEDICARE: LEGACY HOME CARE INC

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	251E00000X	Home Health Agency	5-0017912	OH

General Provider Information

NPI Number	:	1659569457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY HOME CARE INC

Provider Business Mailing Address
First Line	:	2140 LEE RD
Second Line	:	SUITE 215
City	:	CLEVELAND
State	:	OH
Zip	:	44118-2738
Country	:	US
Telephone Number	:	216-932-4170
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 LEE ROAD
Second Line	:	SUITE 215
City	:	CLEVELAND
State	:	OH
Zip	:	44118-2738
Country	:	US
Telephone Number	:	216-932-4170
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. FRANCESCA STEINHART
Credential	:	MA, LSW
Telephone Number	:	216-932-4170

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	06/26/2008

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