Organization · NPI-2
Legacy One Home Health LLC
Home Health · Doral, FL
NPI number1427952647
StatusActive
Last updated in NPPESOct 3, 2026
Details
- NPI
- 1427952647
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy One Home Health LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2026
- Certification date
- Oct 3, 2026
- Last updated
- Oct 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 314000000X | Skilled Nursing Facility | – | – |
Practice location
8249 Nw 36th St Ste 111Doral, FL 33166-6673
Phone 305-300-7884
Mailing address
8249 Nw 36th St Ste 111Doral, FL 33166-6673
Phone 305-300-7884
Authorized official
Pedro Rene Ramos Santos
Owner
3053007884
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