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LEGACY HOUSE CALLS LLC
NPI 1972103778
Nurse Practitioner in Garland, TX

Active since October 29, 2020
2205 EDINBURGH WAY, GARLAND, TX 75040(469) 767-4074(214) 227-5448 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Legacy House Calls Llc NPPES

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

LEGACY HOUSE CALLS LLC (NPI 1972103778) is a healthcare organization registered as a nurse practitioner in Garland, Texas and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Garland and lists Philomena Nwaokolo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972103778
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLEGACY HOUSE CALLS LLC
Location Address2205 EDINBURGH WAYGarland, TX 75040-1139
Mailing Address2205 Edinburgh WayGarland, TX 75040-1139 · (469) 767-4074
Phone(469) 767-4074
Fax(214) 227-5448
Organization SubpartNo
Authorized OfficialPhilomena NwaokoloAdministrator · (469) 767-4074
Enumeration DateOctober 29, 2020
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1972103778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2205 EDINBURGH WAY, Garland, TX 75040
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Secondary Practice Location 1

Location 12205 Edinburgh WayGarland, TX 75040-1139 · Phone (469) 767-4074

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy House Calls Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Legacy House Calls LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Philomena Nwaokolo
Nurse Practitioner
NPI 1427678762
2205 EDINBURGH WAY
Garland, TX 75040
(469) 767-4074
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 House Calls LLC's NPI number?

The NPI number for Legacy House Calls LLC is 1972103778. It was assigned to this organization in the NPPES registry on October 29, 2020.

Where is Legacy House Calls LLC located?

Legacy House Calls LLC is located at 2205 Edinburgh Way, Garland, TX 75040. The listed phone number is (469) 767-4074.

What is Legacy House Calls LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Legacy House Calls LLC enrolled in Medicare?

Yes. Legacy House Calls LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy House Calls LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Legacy House Calls LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy House Calls LLC was last updated on June 9, 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.