FAMILY LEGACY HOME HEALTH CARE
NPI 1114690906
Home Health in Black Jack, MO

Q: What is Family Legacy Home Health Care's NPI number?

The NPI number for Family Legacy Home Health Care is 1114690906. It was assigned to this organization in the NPPES registry on July 27, 2021.

Q: What is Family Legacy Home Health Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 27, 2021

12633 STONERIDGE DR, BLACK JACK, MO 63033(314) 651-7172(314) 653-0258 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Family Legacy Home Health Care NPPES

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

FAMILY LEGACY HOME HEALTH CARE (NPI 1114690906) is a healthcare organization registered as a home health in Black Jack, Missouri and active in the NPI registry since July 2021. The organization lists Brenda Gail Marshall, Owner Member, as its authorized official.

NPPES Registry Identity

NPI1114690906

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameFAMILY LEGACY HOME HEALTH CARE

Location Address12633 STONERIDGE DRBlack Jack, MO 63033-4618

Mailing Address12633 Stoneridge DrBlack Jack, MO 63033-4618 · (314) 651-7172 · Fax (314) 653-0258

Phone(314) 651-7172

Fax(314) 653-0258

Organization SubpartNo

Authorized OfficialBrenda Gail MarshallOwner Member · (314) 651-7172

Enumeration DateJuly 27, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1114690906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

12633 STONERIDGE DR, Black Jack, MO 63033

Open in Google Maps ↗

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 Family Legacy Home Health Care's NPI number?

The NPI number for Family Legacy Home Health Care is 1114690906. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Family Legacy Home Health Care located?

Family Legacy Home Health Care is located at 12633 Stoneridge Dr, Black Jack, MO 63033. The listed phone number is (314) 651-7172.

What is Family Legacy Home Health Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Family Legacy Home Health Care was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.