Organization Active NPI

Legacy Lifeline LLC

  • In Home Supportive Care Agency
  • Brownsburg, IN
National Provider Identifier
1538036041
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEGACY LIFELINE LLC
Practice address
7230 Arbuckle CMNS Ste 111
Brownsburg, IN 46112-1792
Phone
(219) 902-7508
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Kia Bullock
Title
Ceo
Phone
(317) 998-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7230 Arbuckle CMNS Ste 111
Brownsburg, IN 46112-1792

Mailing address

7230 Arbuckle CMNS Ste 111
Brownsburg, IN 46112-1792

Other names 1

  • Lifeline Legacy LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1538036041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 ARBUCKLE CMNS STE 111",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ARBUCKLE CMNS STE 111",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121792",
            "telephone_number": "219-902-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIFELINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-998-5309"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Legacy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.