LEGACY SMALL FAMILY HOME
NPI 1104615467
Nursing Care in Riverside, CA

Active since May 03, 2025
3950 REYNOLDS RD, RIVERSIDE, CA 92503(951) 358-4466 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Jun 24, 2025, Jun 10, 2025 (3 updates tracked since 2025).

About Legacy Small Family Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY SMALL FAMILY HOME (NPI 1104615467) is a healthcare organization registered as a nursing care in Riverside, California and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Perris and lists Monique Leonard, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1104615467
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameLEGACY SMALL FAMILY HOME
Location Address3950 REYNOLDS RDRiverside, CA 92503-3517
Mailing Address2320 Rivendell RdPerris, CA 92570-2708 · (562) 253-9674
Organization SubpartNo
Authorized OfficialMonique LeonardRegistered Nurse · (562) 253-9674
Enumeration DateMay 3, 2025
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1104615467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
3950 REYNOLDS RD, Riverside, CA 92503

Secondary Practice Location 1

Location 12320 Rivendell RdPerris, CA 92570-2708 · Phone (562) 253-9674

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Health Information
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Student in an Organized Health Care Education/Training Program
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Recreation Therapist
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Peer Specialist
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Student in an Organized Health Care Education/Training Program
3950 REYNOLDS RD
RIVERSIDE, CA 92503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Small Family Home's NPI number?

The NPI number for Legacy Small Family Home is 1104615467. It was assigned to this organization in the NPPES registry on May 3, 2025.

Where is Legacy Small Family Home located?

Legacy Small Family Home is located at 3950 Reynolds Rd, Riverside, CA 92503. The listed phone number is (951) 358-4466.

What is Legacy Small Family Home's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Legacy Small Family Home was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.