Provider Demographics
NPI:1689253148
Name:LEGACY HEALTHCARE LLC
Entity Type:Organization
Organization Name:LEGACY HEALTHCARE LLC
Other - Org Name:BRIGHTSTAR CARE OF WILLIAMSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-481-0009
Mailing Address - Street 1:816 GREENBRIER CIR STE 208
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2642
Mailing Address - Country:US
Mailing Address - Phone:757-227-4047
Mailing Address - Fax:757-227-4109
Practice Address - Street 1:816 GREENBRIER CIR STE 208
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2642
Practice Address - Country:US
Practice Address - Phone:757-227-4047
Practice Address - Fax:757-227-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care