# LEGACY ROOTS HOME CARE, LLC

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

## Provider details

- **NPI number:** 1811857121
- **Authorized official:** KADIJAH PRINGLE-COTTERELL (ADMINISTRATOR / OWNER)
- **Authorized official phone:** (646) 239-1395

## Contact information

- **Practice address:** 3379 PEACHTREE RD NE STE 700-740, ATLANTA, GA 30326-1031
- **Practice address phone:** (646) 239-1395
- **Practice address fax:** (646) 239-1395
- **Mailing address:** 909 TAMARRON PKWY SE, ATLANTA, GA 30339-6769
- **Mailing address phone:** (646) 239-1395
- **Mailing address fax:** (646) 239-1395

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 11/18/2025