OrganizationActive
Black Legacy Group LLC
NPI 1225972409 · Home Health Aide · Saint Paul, MN
Provider details
- NPI number
- 1225972409
- Entity type
- Organization
- Primary specialty
- Home Health AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Tamika Black, Owner(612) 380-2365
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1730 Graham Ave Apt 311
Saint Paul, MN 55116-3269
Phone: (612) 380-2365
Approximate (ZIP-level) locationGet directions
Mailing address
1730 Graham Ave Apt 311
Saint Paul, MN 55116-3269
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.