Healthcare Provider Details

I. General information

NPI: 1700720315
Provider Name (Legal Business Name): LEGACII HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8162 COLERAIN AVE
CINCINNATI OH
45239-4516
US

IV. Provider business mailing address

6162 DELCREST DR
FAIRFIELD OH
45014-5346
US

V. Phone/Fax

Practice location:
  • Phone: 513-546-8572
  • Fax:
Mailing address:
  • Phone: 513-546-8572
  • 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: MARQUISA LATTIMORE
Title or Position: OWNER/ADMINISTRATOR
Credential: LPN
Phone: 513-546-8572