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LEGACY HOSPICE LLC
NPI 1609608041
Hospice Care, Community Based in Carmel, IN

Active since August 15, 2024CLIA 15D2314929 · Waiver
1119 KEYSTONE WAY STE 101A, SUITE 101A, CARMEL, IN 46032(317) 463-5683(317) 463-5684 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Aug 9, 2025, Aug 15, 2024 (3 updates tracked since 2024).

About Legacy Hospice Llc NPPES

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

LEGACY HOSPICE LLC (NPI 1609608041) is a healthcare organization registered as a hospice care, community based in Carmel, Indiana and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Kathryn C Pachciarz, Owner, as its authorized official.

NPPES Registry Identity

NPI1609608041
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLEGACY HOSPICE LLC
Location Address1119 KEYSTONE WAY STE 101A, SUITE 101ACarmel, IN 46032-3356
Mailing Address1119 Keystone Way Ste 101aCarmel, IN 46032-3356
Phone(317) 463-5683
Fax(317) 463-5684
Organization SubpartNo
Authorized OfficialKathryn C PachciarzOwner · (317) 463-5683
Enumeration DateAugust 15, 2024
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1609608041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1119 KEYSTONE WAY STE 101A, Carmel, IN 46032
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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 15D2314929

Legacy Hospice LLC · Carmel, IN
Active · expires Dec 2, 2026
CLIA Number15D2314929
Laboratory TypeHospice
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorMichelle Rebenack
Laboratory Phone(317) 463-5683
Laboratory LocationLegacy Hospice LLC1119 Keystone Way Suite 101A, Carmel, IN 46032
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 Hospice LLC's NPI number?

The NPI number for Legacy Hospice LLC is 1609608041. It was assigned to this organization in the NPPES registry on August 15, 2024.

Where is Legacy Hospice LLC located?

Legacy Hospice LLC is located at 1119 Keystone Way Ste 101A Suite 101A, Carmel, IN 46032. The listed phone number is (317) 463-5683.

What is Legacy Hospice LLC's specialty?

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

Does Legacy Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2314929) is associated with this NPI, valid through December 2, 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 Hospice LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.