Organization Active NPI

Legacy Living HC LLC

  • In Home Supportive Care Agency
  • Gary, IN
National Provider Identifier
1558298281
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 11, 2026

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

Authorized official

Name
Shavouya TerryNPI 1568260552
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.