Legacy Healthcare Providers, INC.

Home Health in Covina, CA. Organization (NPI-2).

NPI number1003970104

StatusActive

Last updated in NPPESDec 17, 2010

Details

NPI: 1003970104
Entity type: Organization (NPI-2)
Legal business name: Legacy Healthcare Providers, INC.
Organization subpart: No
Enumeration date: Dec 21, 2006
Last updated: Dec 17, 2010

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART A PROVIDER - HOME HEALTH AGENCY
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	980001464	CA	Yes

Practice location

1272 Center Court Dr
Ste. 203
Covina, CA 91724-3667

Phone 626-858-5611 · Fax 626-858-5614

Mailing address

1272 Center Court Dr
Ste. 203
Covina, CA 91724-3667

Phone 626-858-5611 · Fax 626-858-5614

Authorized official

Mariegene Cacho
Administrator, Owner
6268585611

Is something wrong?

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Other Home Health Agency providers in Covina, CA

All 49 Home Health Agency providers in Covina · All 4,535 providers in Covina

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