LEGACY COMMUNITY HEALTH SERVICES, INC (NPI# 1245583590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245583590 |
| Entity Type | Organization |
| Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
500 Tidwell Rd Houston TX 77022-2122 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Practice Fax Number | 7135234897 |
| Mailing Telephone | 8325485076 |
| Mailing Fax Number | 7135234897 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | KATHERINE CALDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8325485051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| 1063922441 | Legacy Community Health Services, Inc | Clinic/Center | 5598 North Fwy Ste A1, Houston, TX 77076-4702 | 2017-10-11 |
| 1295251650 | Legacy Community Health Services, Inc | Pharmacy | 1415 California St Ste 110, Houston, TX 77006-2602 | 2017-08-17 |
| 1407213085 | Legacy Community Health Services, Inc | Clinic/Center | 5515 South Loop East, Houston, TX 77033-1603 | 2016-01-27 |
| 1063750669 | Legacy Community Health Services, Inc | Clinic/Center | 2965 Harrison St Ste 320, Beaumont, TX 77702-1150 | 2013-01-17 |
| 1871846964 | Legacy Community Health Services, Inc | Clinic/Center | 8430 Westglen Dr, Houston, TX 77063-6312 | 2012-10-26 |
| 1093068348 | Legacy Community Health Services, Inc | Clinic/Center | 11000 Scott St, Houston, TX 77047-1500 | 2012-10-24 |
| 1578816815 | Legacy Community Health Services, Inc | Clinic/Center | 8440 Westpark Dr, Houston, TX 77063-5808 | 2012-10-24 |
| Street Address |
500 TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841557550 | Candice Sherrell Roman- Boyd | Registered Nurse | 500 Tidwell Rd, Houston, TX 77022-2122 | 2012-04-19 |
| 1891102513 | Lolita Thibodeaux Thompson | Counselor | 500 Tidwell Rd, Houston, TX 77022-2122 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| 1992315501 | Legacy Community Health Services, Inc. | Clinic/Center | 13350 Woodforest Blvd, Houston, TX 77015-2826 | 2020-08-07 |
| 1801444039 | Houston Community Health Centers, Inc | Clinic/Center | 215 Rittenhouse St, Houston, TX 77076-1709 | 2019-08-30 |
| 1275198509 | Asian American Health Coalition of The Greater Houston Area | Clinic/Center | 3000 Aldine Mail Route Rd, Building C, Ste 200, Houston, TX 77039 | 2019-05-02 |
| 1952868143 | Bee Busy Wellness Center | Clinic/Center | 1300 Bay Area Blvd # 200, Houston, TX 77058-2505 | 2019-02-25 |
| 1902373061 | Houston Community Health Centers, Inc | Clinic/Center | 1800 Mccarty St, Houston, TX 77029-3761 | 2018-10-26 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on LEGACY COMMUNITY HEALTH SERVICES, 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.