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General NPI Number Information
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NPI Number | 1396681789
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Entity Type | Organization
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Legal Business Name | LEGACY CARE SUPPORTS
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 4347 W 56TH ST
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City | CLEVELAND
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State | OH
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Zip | 44144-2911
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Country | US
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Telephone | 216-616-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 W 56TH ST
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City | CLEVELAND
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State | OH
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Zip | 44144-2911
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Country | US
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Telephone | 216-616-1170
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Fax |
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Authorized Official
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Title or Position | CEO/MANAGING PARTNER
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Name | MR. PHILIP MYERS
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Credential |
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Telephone | 216-616-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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