SOUTHERN LEGACY HOSPICE LLC
NPI 1760100697
Hospice Care, Community Based in Magnolia, TX
About Southern Legacy Hospice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN LEGACY HOSPICE LLC (NPI 1760100697) is a healthcare organization registered as a hospice care, community based in Magnolia, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Sajid H Siddiqui, Adm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 45D2286497
Southern Legacy Hospice LLC · Houston, TXHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Southern Legacy Hospice LLC (CMS certification number A91658), from CMS Care Compare.
Southern Legacy Hospice LLC
Hospice · Houston, TXFrequently 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 Southern Legacy Hospice LLC's NPI number?
The NPI number for Southern Legacy Hospice LLC is 1760100697. It was assigned to this organization in the NPPES registry on August 17, 2022.
Where is Southern Legacy Hospice LLC located?
Southern Legacy Hospice LLC is located at 33300 Egypt Ln Ste L800, Magnolia, TX 77354. The listed phone number is (213) 550-7205.
What is Southern Legacy Hospice LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Southern Legacy Hospice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2286497) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Southern Legacy Hospice LLC a Medicare-certified hospice?
Yes. Southern Legacy Hospice LLC is a Medicare-certified hospice (CMS certification number A91658), certified since November 24, 2023.
When was this NPI record last updated?
The NPPES record for Southern Legacy Hospice LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Southern Legacy Hospice Llc · NPI 1760100697
Hospice Care, Community Based organization in Magnolia, Texas. Organization record, active in the CMS NPPES registry since August 17, 2022.
## Identity
- **NPI:** 1760100697 (Entity type: Organization)
- **Enumerated:** August 17, 2022
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Sajid Siddiqui, ADM
## Practice location
- **Address:** 33300 EGYPT LN STE L800, Magnolia, TX 77354-3322
- **Phone:** (213) 550-7205
## Record status
- **NPPES last updated:** January 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760100697) · Data from the CMS NPPES public registry.