LEGACY CONNECT HOME CARE, INC. (NPI# 1265920961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265920961 |
| Entity Type | Organization |
| Organization Name | LEGACY CONNECT HOME CARE, INC. |
| Practice Address |
111 Walker Dr Ste C Edinboro PA 16412-2237 |
| Practice Telephone | 8144607129 |
| Practice Fax Number | 8142866168 |
| Mailing Telephone | 8144607129 |
| Mailing Fax Number | 8142866168 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | DANIELLE WHEELER (COO) |
| Authorized Official Telephone | 8147903949 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
111 WALKER DR STE C |
| City | EDINBORO |
| State | PA |
| Zip Code | 16412-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183137 | Ashley B Barnett | Specialist/Technologist | 455 Scotland Road, Edinboro, PA 16412 | 2020-01-09 |
| 1083101901 | Kelly Anne Bruce | Specialist/Technologist | 11700 Edinboro Rd, Edinboro, PA 16412 | 2018-04-16 |
| 1922477389 | Keyara Kelly | Specialist/Technologist | 5550 Crane Road, Edinboro, PA 16412 | 2015-09-16 |
| 1366721425 | Pamer Family Chiropractic & Wellness | Chiropractor | 11700 Edinboro Rd., Edinboro, PA 16412 | 2011-08-08 |
| 1568629335 | Lake Erie Dental Inc | Dentist | 106 Waterford Street, Edinboro, PA 16412 | 2008-05-20 |
| 1902007099 | Margaret Burke Kessler | Counselor | 124 Meadville St Ste 105, Edinboro, PA 16412 | 2007-05-29 |
| 1134255516 | James Turner Bolard | Optometrist | 103 Erie St, Edinboro, PA 16412 | 2007-02-27 |
| 1164917696 | Deveshi Chandan | Dentist | 606 Erie St, Edinboro, PA 16412 | 2018-06-27 |
| 1104291384 | Gina Demarco Smith | Occupational Therapist | 419 Waterford Street, Edinboro, PA 16412 | 2015-12-14 |
| 1194134312 | Summer Renae Payer | Massage Therapist | 201a Waterford St, Edinboro, PA 16412 | 2014-08-13 |
| Find all providers in zip 16412 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548495005 | Northwest Tri-county Intermediate Unit # 5 | In Home Supportive Care | 252 Waterford Street, Edinboro, PA 16412-2315 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942379 | Client Care Plus LLC | In Home Supportive Care | 5835 Albion Rd, Girard, PA 16417-7415 | 2020-11-05 |
| 1780285015 | Changing Lives With Solutions Home Care Agency LLC | In Home Supportive Care | 4700 City Ave Apt 9405, Philadelphia, PA 19131-8510 | 2020-11-03 |
| 1457952087 | Born Caregivers LLC | In Home Supportive Care | 2208 S Beechwood St, Philadelphia, PA 19145-3410 | 2020-11-02 |
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1154921286 | Ltl Home Care Agency, LLC. | In Home Supportive Care | 603 E Ohio St, Pittsburgh, PA 15212-5619 | 2020-10-28 |
| 1639779846 | Dream Home Care LLC | In Home Supportive Care | 2410 Glendore Dr, Harrisburg, PA 17112-9611 | 2020-10-27 |
| 1609476977 | Bona Fide Care Connections LLC | In Home Supportive Care | 6030 Chester Ave, Philadelphia, PA 19142-1411 | 2020-10-27 |
| 1902405434 | Art Care Home Health Care Agency LLC | In Home Supportive Care | 1409 W Master St Ste 107, Philadelphia, PA 19121-4339 | 2020-10-26 |
| 1437758182 | Elite Eldercare Services Inc | In Home Supportive Care | 327 Devon Dr, Lancaster, PA 17603-4609 | 2020-10-23 |
| 1851990717 | Edwards Direct Home Care Agency, LLC | In Home Supportive Care | 153 E Washington Ln, Philadelphia, PA 19144-2010 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.