Provider Demographics
NPI:1104191915
Name:DECHMAN LEGACY LLC
Entity Type:Organization
Organization Name:DECHMAN LEGACY LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RIVERKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-672-6900
Mailing Address - Street 1:9028 STATE HIGHWAY 304
Mailing Address - Street 2:
Mailing Address - City:HARWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78632-4711
Mailing Address - Country:US
Mailing Address - Phone:830-672-6900
Mailing Address - Fax:
Practice Address - Street 1:9028 STATE HIGHWAY 304
Practice Address - Street 2:
Practice Address - City:HARWOOD
Practice Address - State:TX
Practice Address - Zip Code:78632-4711
Practice Address - Country:US
Practice Address - Phone:830-672-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013984253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care