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NPI Code Detail

MEDICARE: THE LEGACY AT HOME, INC.

MEDICARE: THE LEGACY AT HOME, 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1013810OTHERTXAGENCY PARENT LICENSE
2013810OTHERTXAGENCY BRANCH LICENSE

General Provider Information

NPI Number : 1225349376
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LEGACY AT HOME, INC.
Provider Business Mailing Address
First Line : 6101 OHIO DR STE 100B
Second Line :
City : PLANO
State : TX
Zip : 75024-2720
Country : US
Telephone Number : 972-244-7700
Fax Number : 972-244-7701
Provider Business Practice Location Address
First Line : 6101 OHIO DR STE 100B
Second Line :
City : PLANO
State : TX
Zip : 75024-2720
Country : US
Telephone Number : 972-244-7700
Fax Number : 972-244-7701
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JESSICA HAECKER
Credential :
Telephone Number : 972-244-7700
Provider Enumeration Date : 06/23/2010
Last Update Date : 01/05/2026

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Directions to “THE LEGACY AT HOME, INC. ” Practice Location

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