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

Nina's Legacy Home Care LLC

Organization Home Health Agency · NPI 1376407288

Nina's Legacy Home Care LLC is a Home Health Agency in Lake Park, Georgia. Registered with an NPI since 2025.

In the registry since
2025
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

5435 Forest Dr
Lake Park, GA 31636-3326
Phone: (229) 516-2503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1376407288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Agnes Hines — Owner · (229) 516-2503
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address5435 Forest Dr, Lake Park, GA 31636-3326

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