LEGACY UNITED HOME CARE LLC – NPI #1902742109
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

LEGACY UNITED HOME CARE LLC is a community based residential treatment facility located in PORTLAND, OR. NPPES recently assigned the NPI number 1902742109 to LEGACY UNITED HOME CARE LLC on April 28, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY UNITED HOME CARE LLC below.

NPI Profile for
LEGACY UNITED HOME CARE LLC

NPI Number
1902742109
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY UNITED HOME CARE LLC
Primary location
1030 SE 148TH AVE
PORTLAND, OR 97233-2535
Phone: (720) 209-2976 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ETSEGENET TEKLEHAIMANOT
DIRECTOR/MEMBER
Phone: (720) 209-2976
Updated
Certification Date
Apr 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.