OrganizationActiveAccepts Medicare
Legacy Healthcare Providers, Inc.
NPI 1003970104 · Home Health Agency · Covina, CA
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003970104
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mariegene Cacho, Administrator, Owner(626) 858-5611
- License
- 980001464 (CA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1272 Center Court Dr
Ste. 203
Covina, CA 91724-3667
Phone: (626) 858-5611
Fax: (626) 858-5614
Street-level locationGet directions
Mailing address
1272 Center Court Dr
Covina, CA 91724-3667
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2010-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.