Legacy HealthCare – Community Based Hospice Care Agency, NPI 1831196328

Legacy HealthCare is a healthcare provider. based in Layton, Utah. specializing in Community Based Hospice Care Agency. The organization holds a License No. 2005-HOSPICE-55836 (UT). The NPI Number for Legacy HealthCare is 1831196328

Main info

Organization
Name
Legacy HealthCare
NPI
1831196328
Phone
(801) 771-9099
Address
3135 N FAIRFIELD RD
Authorized Official
KEITH G GORDON CEO/ADMINISTRATOR
Enumeration Date
30 June 2005
Last Update Date
30 October 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Legacy HealthCare

  • North Fairfield Road, Church Hills, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840418832

    Phone: (801) 771-9099

    Fax: (801) 771-0200

    Type: Mailing

  • 3135, North Fairfield Road, Eastridge Estates, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840418832

    Phone: (801) 771-9099

    Fax: (801) 771-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040126000827OHospiceUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84041)

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Reviews

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Frequently asked questions

How do payers reference Legacy HealthCare?
For Legacy HealthCare, use NPI 1831196328 as the unique 10-digit identifier.
Active or inactive — what applies to Legacy HealthCare?
You should see Legacy HealthCare as active in CMS-hosted NPPES data.
What clinical focus is listed for Legacy HealthCare?
At a glance, Legacy HealthCare is tied to Community Based Hospice Care Agency. Clinical services aligned with this taxonomy classification.
Is Legacy HealthCare associated with Layton?
Public fields place Legacy HealthCare around Layton, Utah. Always confirm the exact site before visiting.
Does Legacy HealthCare accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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