Healthcare Provider Details

I. General information

NPI: 1346160702
Provider Name (Legal Business Name): LEGACY CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MAIN ST STE N
NASHUA NH
03060-2913
US

IV. Provider business mailing address

221 MAIN ST STE N
NASHUA NH
03060-2913
US

V. Phone/Fax

Practice location:
  • Phone: 206-790-6791
  • Fax:
Mailing address:
  • Phone: 206-790-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED ALI ELMI
Title or Position: DIRECTOR
Credential:
Phone: 206-790-6791