# LEGACY HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1588411607
- **Authorized official:** EDWIN SALAS (CEO)
- **Authorized official phone:** (347) 865-2976

## Contact information

- **Practice address:** 5245 AVE ISLA VERDE APT 305, CAROLINA, PR 00979-5480
- **Practice address phone:** (347) 865-2976
- **Mailing address:** PO BOX 1396, NEW YORK, NY 10018-0020
- **Mailing address phone:** (347) 865-2976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 04/28/2025