LEGACY HOSPICE CARE LLC NPI 1104693795

NPI Information

  • NPI: 1104693795
  • Provider Name: LEGACY HOSPICE CARE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Address: 150 RIVERSIDE PKWY STE 115
    FREDERICKSBURG, VA
    ZIP 22406
  • Phone: (646) 671-0516

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NPI Details

LEGACY HOSPICE CARE LLC is a hospice care community based in Fredericksburg, VA. LEGACY HOSPICE CARE LLC NPI is 1104693795. The provider is registered as an organization entity type.

The provider's business location address is:

150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA
ZIP 22406-094
Phone: (646) 671-0516

The provider's authorized official is Texeria Jackson .
The authorized official title is Owner and has the following contact phone number (646) 671-0516.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 12/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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