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

NPI Status: Active since May 03, 2025

Contact Information

3950 REYNOLDS RD
RIVERSIDE, CA
ZIP 92503
Phone: (951) 358-4466

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  • Organization
  • Nursing Care

About LEGACY SMALL FAMILY HOME

This page provides the complete NPI Profile along with additional information for Legacy Small Family Home, a provider established in Riverside, California operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1104615467 assigned on May 2025. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Monique Leonard Rn (Registered Nurse)

NPI
1104615467
Provider Name
LEGACY SMALL FAMILY HOME
Entity Type
Organization
Location Address
3950 REYNOLDS RD RIVERSIDE, CA 92503
Location Phone
(951) 358-4466
Mailing Address
2320 RIVENDELL RD PERRIS, CA 92570
Mailing Phone
(562) 253-9674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2025
Last Update Date
01-08-2026
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Location Map

Secondary Locations

  • 2320 Rivendell Rd
    Perris, CA 92570
    (562) 253-9674

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13140N1450XNursing & Custodial Care Facilities

Skilled Nursing Facility
Nursing Care, Pediatric

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MONIQUE LEONARD RN

Authorized Official Title
REGISTERED NURSE
Authorized Official Phone
(562) 253-9674

Reviews for LEGACY SMALL FAMILY HOME

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104615467, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 2 + 1 + 1 + 0 + 4 + 1 + 2 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104615467.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Mental Illness
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
Counselor (Addiction (Substance Use Disorder))
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse (Psychiatric/Mental Health, Adult)
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Behavior Technician
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Social Worker (Clinical)
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Marriage & Family Therapist
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Technician, Health Information
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse (Psychiatric/Mental Health, Adult)
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Technician, Other
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Community Based Residential Treatment Facility, Mental Illness
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Behavior Technician
3950 REYNOLDS RD
RIVERSIDE, CA 92503
Registered Nurse
3950 REYNOLDS RD
RIVERSIDE, CA 92503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104615467, enumerated as an "organization" on May 03, 2025.

The provider is located at 3950 REYNOLDS RD RIVERSIDE, CA 92503 and the phone number is (951) 358-4466.

Nursing Care with taxonomy code 251J00000X.