Provider Demographics
NPI:1366030389
Name:JTD LEGACY, LLC
Entity Type:Organization
Organization Name:JTD LEGACY, LLC
Other - Org Name:HOME HELPERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-269-5855
Mailing Address - Street 1:2917 TELFORD
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3563
Mailing Address - Country:US
Mailing Address - Phone:469-269-5855
Mailing Address - Fax:
Practice Address - Street 1:2917 TELFORD
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-3563
Practice Address - Country:US
Practice Address - Phone:469-269-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care