Provider Demographics
NPI:1730054487
Name:LEGACY HOSPICE SERVICES LLC
Entity type:Organization
Organization Name:LEGACY HOSPICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-807-0713
Mailing Address - Street 1:2002 CROSS CUT DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4792
Mailing Address - Country:US
Mailing Address - Phone:972-807-0713
Mailing Address - Fax:972-807-0807
Practice Address - Street 1:2002 CROSS CUT DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4792
Practice Address - Country:US
Practice Address - Phone:972-807-0713
Practice Address - Fax:972-807-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based