LEGACY HOME HEALTH AGENCY, INC (NPI# 1124228317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124228317 |
| Entity Type | Organization |
| Organization Name | LEGACY HOME HEALTH AGENCY, INC |
| Practice Address |
5633 S. Staples Street Suite 200 Corpus Christi TX 78411-4646 |
| Mailing Address |
P.o. Box 60650 Corpus Christi TX 78466-0650 |
| Practice Telephone | 3618550848 |
| Practice Fax Number | 3618534855 |
| Mailing Telephone | 3618550848 |
| Mailing Fax Number | 3618534855 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-03-14 |
| Authorized Official Name | MR. AMBROSE HERNANDEZ JR. (CEO/OWNER) |
| Authorized Official Telephone | 3618550848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 008442 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA | 45D0945503 | 01 |
| TX | 001013242 | 05 | |
| TX | CLIA | 8616 | 01 |
| TX | 001003937 | 05 | |
| TX | 001003938 | 05 | |
| TX | 001015098 | 05 |
| Street Address |
5633 S. STAPLES STREET SUITE 200 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841332095 | Veronica Farias Garza | Occupational Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2007-02-13 |
| 1194051516 | Erica Lee Garcia | Speech-Language Pathologist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-10-19 |
| 1952534349 | Miroslaw R Krzycki | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-09-01 |
| 1639302029 | Magdalena Joanna Laszcz | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-09-01 |
| 1275764870 | Legacy Therapy Center, Inc. | Clinic/Center | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78466-1140 | 2009-07-30 |
| 1396974150 | Chesley Hilliary Adams | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-07-14 |
| 1033347208 | Nicole Lavoie Owens | Speech-Language Pathologist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218234 | Carestat Hospice, LLC | Hospice Care, Community Based | 13330 Leopard St Ste 20, Corpus Christi, TX 78410-4479 | 2019-04-09 |
| 1710419429 | Amica Hospice Care, LLC | Hospice Care, Community Based | 7026 Vineyard Dr, Corpus Christi, TX 78414-3950 | 2017-03-31 |
| 1073989513 | Restorative Health Services, LLC Dba Coastal Home Health Care | Hospice Care, Community Based | 5541 Bear Ln, Ste 218, Corpus Christi, TX 78405-4129 | 2015-08-19 |
| 1194112888 | Amor Home Health, Inc. | Hospice Care, Community Based | 6262 Weber Rd., Corpus Christi, TX 78413 | 2015-04-20 |
| 1922406701 | Serenity and Grace Hospice Care, LLC | Hospice Care, Community Based | 919 Grant Pl, Corpus Christi, TX 78411-2313 | 2014-12-11 |
| 1184056723 | Coastal Bend Home Health LLC | Hospice Care, Community Based | 626 Mcclendon St, Corpus Christi, TX 78404-2623 | 2013-08-06 |
| 1245577873 | Harbor Hospice of Portland, Lp | Hospice Care, Community Based | 5151 Flynn Pkwy Ste 406a, Corpus Christi, TX 78411-4318 | 2013-01-16 |
| 1891031886 | Harbor Hospice of South Texas Lp | Hospice Care, Community Based | 4659 Everhart Rd Ste 212, Corpus Christi, TX 78411-2735 | 2012-12-18 |
| 1548557101 | Harbor Hospice of Corpus Christi | Hospice Care, Community Based | 5151 Flynn Pkwy Ste 406, Corpus Christi, TX 78411-4318 | 2011-07-05 |
| 1215252788 | Real Life Healthcare Systems, LLC | Hospice Care, Community Based | 4646 Corona Dr Ste 160, Corpus Christi, TX 78411-4395 | 2010-03-28 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on LEGACY HOME HEALTH AGENCY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.