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LEGACY UNITED HOME CARE LLC
NPI 1902742109
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since April 28, 2026
1030 SE 148TH AVE, PORTLAND, OR 97233(720) 209-2976 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy United Home Care Llc NPPES

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

LEGACY UNITED HOME CARE LLC (NPI 1902742109) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since April 2026. The organization lists Etsegenet K Teklehaimanot, Director/member, as its authorized official.

NPPES Registry Identity

NPI1902742109
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLEGACY UNITED HOME CARE LLC
Location Address1030 SE 148TH AVEPortland, OR 97233-2535
Mailing Address1030 Se 148th AvePortland, OR 97233-2535 · (720) 209-2976
Phone(720) 209-2976
Organization SubpartNo
Authorized OfficialEtsegenet K TeklehaimanotDirector/member · (720) 209-2976
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1902742109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1030 SE 148TH AVE, Portland, OR 97233
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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 Legacy United Home Care LLC's NPI number?

The NPI number for Legacy United Home Care LLC is 1902742109. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Legacy United Home Care LLC located?

Legacy United Home Care LLC is located at 1030 SE 148th Ave, Portland, OR 97233. The listed phone number is (720) 209-2976.

What is Legacy United 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 United Home Care LLC was last updated on April 28, 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.