# LEGACY PRIVATE HOME CARE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** legacy private home care services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972155836
- **Authorized official:** MR. OLAYINKA OYEDOTUN (OWNER)
- **Authorized official phone:** (310) 755-4074

## Contact information

- **Practice address:** 2302 PARKLAKE DR NE STE 578, ATLANTA, GA 30345-2896
- **Practice address phone:** (310) 755-4045
- **Mailing address:** 2302 PARKLAKE DR NE STE 578, ATLANTA, GA 30345-2896
- **Mailing address phone:** (310) 755-4045

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 07/11/2019