Provider Demographics
NPI:1265311468
Name:LEGACYHOMECARE LLC
Entity type:Organization
Organization Name:LEGACYHOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAZHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEACHMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-554-1328
Mailing Address - Street 1:406 SW 9TH ST APT 425
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4307
Mailing Address - Country:US
Mailing Address - Phone:515-554-1328
Mailing Address - Fax:
Practice Address - Street 1:406 SW 9TH ST APT 425
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-4307
Practice Address - Country:US
Practice Address - Phone:515-554-1328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care