LEGACY LIVING CARE NPI 1235932088

NPI Information

  • NPI: 1235932088
  • Provider Name: LEGACY LIVING CARE
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 3561 LEHIGH WAY
    DECATUR, GA
    ZIP 30034
  • Phone: (404) 644-3072

Map and Directions

Get Directions

NPI Details

LEGACY LIVING CARE is a home health in Decatur, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. LEGACY LIVING CARE NPI is 1235932088. The provider is registered as an organization entity type.

The provider's business location address is:

3561 LEHIGH WAY
DECATUR, GA
ZIP 30034-726
Phone: (404) 644-3072

The provider's authorized official is Shankivia Shanay Daugherty .
The authorized official title is Administrator and has the following contact phone number (404) 644-3072.

The enumeration date for this NPI number is 3/28/2025 and was last updated on 4/9/2025.

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
1251E00000XHome HealthYes
2251F00000XHome InfusionNo
3251G00000XHospice Care, Community BasedNo
4253Z00000XIn Home Supportive CareNo
5261QA0600XClinic/CenterAdult Day CareNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesNo
7261QI0500XClinic/CenterInfusion TherapyNo
8261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareNo
9314000000XSkilled Nursing FacilityNo
10343900000XNon-emergency Medical Transport (VAN)No
11385H00000XRespite CareNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI