Organization · Type 2 NPI

Legacy Small Family Home

Nursing Care Agency · Riverside, CA

NPI number 1104615467 Active

Practice location

3950 Reynolds Rd
Riverside, CA 92503-3517

Mailing address

2320 Rivendell Rd
Perris, CA 92570-2708

Other practice locations

  • 2320 Rivendell Rd, Perris, CA 92570-2708 · (562) 253-9674

Specialties and licenses

TaxonomyCodeLicense
Nursing Care Agency Primary 251J00000XNone listed
Pediatric Skilled Nursing Facility 3140N1450XNone listed

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

40 other providers at this address

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About NPI 1104615467

Legacy Small Family Home's National Provider Identifier is 1104615467, issued on May 3, 2025. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Riverside, CA. The record was last updated on Jan 8, 2026.