LEGACY HEALTHCARE CENTER
NPI 1437506649
Skilled Nursing Facility in Pasadena, CA

Active since May 17, 2016CLIA 05D0897002 · Waiver
1570 N FAIR OAKS AVE, PASADENA, CA 91103(562) 925-2274 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Healthcare Center NPPES

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

LEGACY HEALTHCARE CENTER (NPI 1437506649) is a healthcare organization registered as a skilled nursing facility in Pasadena, California and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Dove E Jacobs, Manager, as its authorized official.

NPPES Registry Identity

NPI1437506649
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGACY HEALTHCARE CENTER LLC
Location Address1570 N FAIR OAKS AVEPasadena, CA 91103-1822
Mailing Address1570 N Fair Oaks AvePasadena, CA 91103-1822 · (562) 925-2274
Organization SubpartNo
Authorized OfficialDove E JacobsManager · (310) 398-8101
Enumeration DateMay 17, 2016
NPI 1437506649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1570 N FAIR OAKS AVE, Pasadena, CA 91103

Other Names 1

Doing Business AsLegacy Healthcare Center

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 05D0897002

Legacy Healthcare Center · Pasadena, CA
Active · expires Aug 12, 2026
CLIA Number05D0897002
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorRobert Ladines
Laboratory Phone(626) 798-0558
Laboratory LocationLegacy Healthcare Center1570 N Fair Oaks Ave, Pasadena, CA 91103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
1570 N FAIR OAKS AVE
PASADENA, CA 91103
Skilled Nursing Facility
1570 N FAIR OAKS AVE
PASADENA, CA 91103
Skilled Nursing Facility
1570 N FAIR OAKS AVE
PASADENA, CA 91103
Skilled Nursing Facility
1570 N FAIR OAKS AVE
PASADENA, CA 91103

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 Center LLC's NPI number?

The NPI number for Legacy Healthcare Center LLC is 1437506649. It was assigned to this organization in the NPPES registry on May 17, 2016. The provider is doing business as Legacy Healthcare Center.

Where is Legacy Healthcare Center LLC located?

Legacy Healthcare Center LLC is located at 1570 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (562) 925-2274.

What is Legacy Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Legacy Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0897002) is associated with this NPI, valid through August 12, 2026. 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 Center LLC was last updated on May 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.