LEGACY NATIVE HOME CARE LLC
NPI 1336011527
Community Based Residential Treatment Facility, Mental Illness in Mesa, AZ
About Legacy Native Home Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY NATIVE HOME CARE LLC (NPI 1336011527) is a healthcare organization registered as a community based residential treatment facility, mental illness in Mesa, Arizona and active in the NPI registry since September 2025. The organization lists Tyrese M Tomegah, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85212
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 Native Home Care LLC's NPI number?
The NPI number for Legacy Native Home Care LLC is 1336011527. It was assigned to this organization in the NPPES registry on September 18, 2025.
Where is Legacy Native Home Care LLC located?
Legacy Native Home Care LLC is located at 5235 S Axiom, Mesa, AZ 85212. The listed phone number is (480) 245-4471.
What is Legacy Native Home Care LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Legacy Native Home Care LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Legacy Native Home Care Llc · NPI 1336011527
Community Based Residential Treatment Facility, Mental Illness organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since September 18, 2025.
## Identity
- **NPI:** 1336011527 (Entity type: Organization)
- **Enumerated:** September 18, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Tyrese Tomegah, CEO
## Practice location
- **Address:** 5235 S AXIOM, Mesa, AZ 85212-8529
- **Phone:** (480) 245-4471
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336011527) · Data from the CMS NPPES public registry.