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

Lasting Legacy Home Care LLC

Organization In Home Supportive Care Agency · NPI 1912834243

Lasting Legacy Home Care LLC is an In Home Supportive Care Agency in Yulee, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

463688 State Road 200 Ste 1522
Yulee, FL 32097-0304
Phone: (904) 849-5192
Show map & directions

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 number1912834243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Bolton — Owner · (706) 564-1472
Other names Lasting Legacy Home Care
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address81508 Boatswain Ct, Fernandina Beach, FL 32034-7118

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