Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingdom Legacy Care LLC

Organization In Home Supportive Care Agency · NPI 1467220715

Kingdom Legacy Care LLC is an In Home Supportive Care Agency in Tamarac, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6001 NW 89th Ave
Tamarac, FL 33321-4105
Phone: (754) 235-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1467220715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Mondelus — Ceo · (754) 235-0044
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address6001 Nw 89th Ave, Tamarac, FL 33321-4105

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