Legacy Care Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LEGACY CARE HOSPICE LLC

Practice address

402 Black Hills LN SW Ste B
Olympia, WA 98502-8146

Phone

(360) 968-5550

Fax

(360) 968-5551

NPI assigned

Nov 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judith I Grey

Title

Coo

Phone

(201) 919-4905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospice certification: CCN 501566

Legal name

Legacy Care Hospice LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 7, 2026

Last certification

May 7, 2026

Facility address

402 Black Hills LN SW, Ste B
Olympia, WA 98502

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1174483135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BLACK HILLS LN SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028146",
            "telephone_number": "360-968-5550",
            "fax_number": "360-968-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BLACK HILLS LN SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028146",
            "telephone_number": "360-968-5550",
            "fax_number": "360-968-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-919-4905"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawndis Lee
• Yongjin Lee, MA, LMHCA
• Yujin Lee
• Julia Grace Leep-Lazar, MD
• Ariana L Leeseberg, LMHC
• Ronillo M Legaspi, M.D.
• Aurora Joanne Leger, CG60899097
• Navjeet Lehal
• Brenda Gayle Lehman
• Jennifer Marie Lehmann, LMP

• Community Based Hospice Care Agency in Olympia, WA
• Providers in Olympia, WA by specialty
• Community Based Hospice Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.