LEGEND HOME CARE LLC
NPI 1801567938
In Home Supportive Care in Mount Vernon, IL

Q: What is Legend Home Care LLC's NPI number?

The NPI number for Legend Home Care LLC is 1801567938. It was assigned to this organization in the NPPES registry on September 28, 2021.

Q: What is Legend Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since September 28, 2021

3307 BROADWAY ST STE 150, MOUNT VERNON, IL 62864(618) 731-6550 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Legend Home Care Llc NPPES

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

LEGEND HOME CARE LLC (NPI 1801567938) is a healthcare organization registered as an in home supportive care in Mount Vernon, Illinois and active in the NPI registry since September 2021. The organization lists Kischa Jackson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1801567938

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameLEGEND HOME CARE LLC

Location Address3307 BROADWAY ST STE 150Mount Vernon, IL 62864-2387

Mailing Address15030 N Tundra LnMount Vernon, IL 62864-8156 · (618) 731-6550

Phone(618) 731-6550

Organization SubpartNo

Authorized OfficialKischa JacksonOwner/president · (618) 731-6550

Enumeration DateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1801567938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

3307 BROADWAY ST STE 150, Mount Vernon, IL 62864

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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 Legend Home Care LLC's NPI number?

The NPI number for Legend Home Care LLC is 1801567938. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Legend Home Care LLC located?

Legend Home Care LLC is located at 3307 Broadway St Ste 150, Mount Vernon, IL 62864. The listed phone number is (618) 731-6550.

What is Legend Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Legend Home Care LLC was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.