Legacy Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LEGACY HOSPICE LLC

Practice address

1119 Keystone Way Ste 101a
Suite 101a
Carmel, IN 46032-3356

Phone

(317) 463-5683

Fax

(317) 463-5684

NPI assigned

Aug 15, 2024

Last updated

Aug 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn C Pachciarz, MSM, CNA

Title

Owner

Phone

(317) 463-5683

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609608041. Details of each certification follow.

• CCN 151666 Hospice · Active · Details

Hospice certification: CCN 151666

Legal name

LEGACY HOSPICE LLC

Doing business as

HEALTHCARE PROVIDER SOLUTIONS

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 8, 2025

Last certification

Apr 30, 2025

Organization structure

LLCProprietary

Incorporated

Aug 1, 2024 in IN

Enrollment address

1119 Keystone Way
Ste 101a
Carmel, IN 46032-3356

Listed as

Legacy Hospice LLCCCN 151666 · All quality measures

Certified

May 8, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jaime Ayon, MD

  • Hematology & Oncology Physician
  • Shelbyville, IN
  • NPI 1649439118

  Hospice

  Care Compare affiliation
• David Michael Blackwell II, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1104903111

  Hospice

  Care Compare affiliation
• Olivia Helitha Cronin, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1881820249

  Hospice

  Care Compare affiliation
• Ryan Matthew Pickell, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1578943460

  Hospice

  Care Compare affiliation
• David L Tetrick

  • Internal Medicine Physician
  • Noblesville, IN
  • NPI 1639183874

  Hospice

  Care Compare affiliation
• Timothy Patrick Walbridge, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1386609071

  Hospice

  Care Compare affiliation
• Mina Safwat Youssef, MD

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1447783683

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1609608041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 KEYSTONE WAY STE 101A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 KEYSTONE WAY STE 101A",
            "address_2": "SUITE 101A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323356",
            "telephone_number": "317-463-5683",
            "fax_number": "317-463-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "PACHCIARZ",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-463-5683",
        "authorized_official_credential": "MSM, CNA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keona Lee, DMD
• Kyung Eun Lee
• Mallory Lee, OTD, OTR
• Shelly Ling-Chin Lee, DDS MS
• Alicia Leedy, MD
• Maria Legge
• Lesley L Leggington, FNP
• Ronald Stephen Lehman, D.D.S.
• Isabel Lehn, PT, DPT
• Kallie Leib

• Community Based Hospice Care Agency in Carmel, IN
• Providers in Carmel, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.