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

Legacy United Home Care LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1902742109

Legacy United Home Care LLC is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. 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

1030 SE 148th Ave
Portland, OR 97233-2535
Phone: (720) 209-2976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1902742109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Etsegenet Teklehaimanot — Director/Member · (720) 209-2976
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address1030 Se 148th Ave, Portland, OR 97233-2535

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