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LEGACY HEALTHCARE, LLC
NPI 1326630104
Hospice Care, Community Based in Hayward, CA

Active since February 03, 2021CLIA 05D2250725 · Waiver
1070 A ST STE 5, HAYWARD, CA 94541(510) 952-9906(510) 952-9927 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Feb 3, 2021 (2 updates tracked since 2021).

About Legacy Healthcare, Llc NPPES

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

LEGACY HEALTHCARE, LLC (NPI 1326630104) is a healthcare organization registered as a hospice care, community based in Hayward, California and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists John D Williams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326630104
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLEGACY HEALTHCARE, LLC
Location Address1070 A ST STE 5Hayward, CA 94541-4106
Mailing Address1070 A St Ste 5Hayward, CA 94541-4106 · (510) 952-9906 · Fax (510) 952-9927
Phone(510) 952-9906
Fax(510) 952-9927
Organization SubpartNo
Authorized OfficialJohn D WilliamsAdministrator · (408) 309-5661
Enumeration DateFebruary 3, 2021
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1326630104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1070 A ST STE 5, Hayward, CA 94541
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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 05D2250725

Legacy Healthcare LLC · Hayward, CA
Active · expires Jan 27, 2028
CLIA Number05D2250725
Laboratory TypeHospice
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorEstelita L. Carandang
Laboratory Phone(510) 952-9906
Laboratory LocationLegacy Healthcare LLC1070 A Street Ste 5, Hayward, CA 94541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Healthcare, LLC's NPI number?

The NPI number for Legacy Healthcare, LLC is 1326630104. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Legacy Healthcare, LLC located?

Legacy Healthcare, LLC is located at 1070 A St Ste 5, Hayward, CA 94541. The listed phone number is (510) 952-9906.

What is Legacy Healthcare, LLC's specialty?

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

Does Legacy Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2250725) is associated with this NPI, valid through January 27, 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 Healthcare, LLC was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.