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Contact Information

LEGACY SMALL FAMILY HOME
3950 REYNOLDS RD
RIVERSIDE, CA92503-3517
 Phone: 951-358-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Nursing Care, Pediatric

3140N1450X
Indicates primary specialty

NPI Profile & details for LEGACY SMALL FAMILY HOME

NPI # 1104615467
LBN Legal business name LEGACY SMALL FAMILY HOME
Authorized official MONIQUE LEONARD - (REGISTERED NURSE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2025
Last updated 01/08/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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