# LEGACY CARE TEAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013604180
- **Authorized official:** KEOKUK RANDALL (ADMINISTRATOR)
- **Authorized official phone:** (682) 433-9476

## Contact information

- **Practice address:** 4109 CITY POINT DR STE G, N RICHLAND HILLS, TX 76180-8339
- **Practice address phone:** (682) 381-0595
- **Mailing address:** 4109 CITY POINT DR STE G, N RICHLAND HILLS, TX 76180-8339
- **Mailing address phone:** (682) 381-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 04/19/2023
- **Last updated:** 03/19/2026