Active NPI
Legacy Living HC LLC
- In Home Supportive Care Agency
- Gary, IN
National Provider Identifier
1558298281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LEGACY LIVING HC LLC
- Practice address
- 4444 Broadway Ste A5
Gary, IN 46408-3364 - Phone
- (708) 575-9274
- NPI assigned
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shavouya Terry
- Title
- Owner
- Phone
- (708) 846-0283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4444 Broadway Ste A5
Gary, IN 46408-3364
Mailing address
4444 Broadway Ste A5
Gary, IN 46408-3364
Phone (708) 575-9274
National Provider Directory
National Provider DirectoryLocations
4444 Broadway
Ste A5
Gary, IN 46408
Phone (219) 779-0279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Gary, IN
- NPI 1568260552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1558298281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 BROADWAY STE A5",
"city": "GARY",
"state": "IN",
"postal_code": "464083364",
"telephone_number": "708-575-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 BROADWAY STE A5",
"city": "GARY",
"state": "IN",
"postal_code": "464083364",
"telephone_number": "708-575-9274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY LIVING HC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "SHAVOUYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-846-0283"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.