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

Legendary Support Coordination, LLC

Organization Community Based Hospice Care Agency · NPI 1346693496

Legendary Support Coordination, LLC is a Community Based Hospice Care Agency in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
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

4950 Parkside Ave Ste 102
Philadelphia, PA 19131-4700
Phone: (215) 596-5940
Fax: (215) 921-6188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X (PA)

Record details

NPI number1346693496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Pettaway — Ceo · (215) 596-5940
NPI enumeratedJuly 13, 2016
Last updated in NPPESJuly 13, 2016
Mailing address4950 Parkside Ave Ste 102, Philadelphia, PA 19131-4700

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