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LEGACY CARE HOSPICE LLC
NPI 1174483135
Hospice Care, Community Based in Olympia, WA

Active since November 13, 2025CLIA 50D2336033 · Waiver
402 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502(360) 968-5550(360) 968-5551 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Care Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY CARE HOSPICE LLC (NPI 1174483135) is a healthcare organization registered as a hospice care, community based in Olympia, Washington and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Judith I Grey, Coo, as its authorized official.

NPPES Registry Identity

NPI1174483135
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLEGACY CARE HOSPICE LLC
Location Address402 BLACK HILLS LN SW STE BOlympia, WA 98502-8146
Mailing Address402 Black Hills Ln Sw Ste BOlympia, WA 98502-8146 · (360) 968-5550 · Fax (360) 968-5551
Phone(360) 968-5550
Fax(360) 968-5551
Organization SubpartNo
Authorized OfficialJudith I GreyCoo · (201) 919-4905
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1174483135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
402 BLACK HILLS LN SW STE B, Olympia, WA 98502
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2336033

Legacy Care Hospice, LLC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2336033
Laboratory TypeHospice
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJudith Grey
Laboratory Phone(360) 968-5550
Laboratory LocationLegacy Care Hospice, LLC402 Black Hills Lane SW 402B, Olympia, WA 98502
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST OLYMPIA FAMILY MEDICINE INC, PC
Family Medicine
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 754-4837
DR. RANDY L BUCKNER D.O.
Family Medicine
402 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502
Thurston County (360) 754-4837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Care Hospice LLC's NPI number?

The NPI number for Legacy Care Hospice LLC is 1174483135. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is Legacy Care Hospice LLC located?

Legacy Care Hospice LLC is located at 402 Black Hills Ln SW Ste B, Olympia, WA 98502. The listed phone number is (360) 968-5550.

What is Legacy Care Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Legacy Care Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2336033) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legacy Care Hospice LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.