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BLACK LEGACY GROUP LLC
NPI 1225972409
Home Health Aide in Saint Paul, MN

Active since April 16, 2026
1730 GRAHAM AVE APT 311, SAINT PAUL, MN 55116(612) 380-2365 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Legacy Group Llc NPPES

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

BLACK LEGACY GROUP LLC (NPI 1225972409) is a healthcare organization registered as a home health aide in Saint Paul, Minnesota and active in the NPI registry since April 2026. The organization lists Tamika Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1225972409
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameBLACK LEGACY GROUP LLC
Location Address1730 GRAHAM AVE APT 311Saint Paul, MN 55116-3269
Mailing Address1730 Graham Ave Apt 311Saint Paul, MN 55116-3269 · (612) 380-2365
Phone(612) 380-2365
Organization SubpartNo
Authorized OfficialTamika BlackOwner · (612) 380-2365
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1225972409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
1730 GRAHAM AVE APT 311, Saint Paul, MN 55116
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Black Legacy Group LLC's NPI number?

The NPI number for Black Legacy Group LLC is 1225972409. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Black Legacy Group LLC located?

Black Legacy Group LLC is located at 1730 Graham Ave Apt 311, Saint Paul, MN 55116. The listed phone number is (612) 380-2365.

What is Black Legacy Group LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Black Legacy Group LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.