Legacy Community Health Services, Inc · 10021 Main St Ste B3, Houston, TX 77025-5254 · Federally Qualified Health Center (FQHC) (2024)

Overview

Legacy Community Health Services, Inc is a Federally Qualified Health Center (FQHC) (organization) practicing in Houston, Texas. The National Provider Identifier (NPI) is #1740909415, which was assigned on August 25, 2022, and the registration record was last updated on August 25, 2022. The practitioner's main practice location is at 10021 Main St Ste B3, Houston, TX 77025-5254; the contact telephone number is 8325485000, and the fax number is 8327798862. The primary taxonomy of Legacy Community Health Services, Inc is Federally Qualified Health Center (FQHC) (261QF0400X), with specialization in Federally Qualified Health Center (FQHC). The authorized official for Legacy Community Health Services, Inc is Robert Hilliard (Ceo).

Provider Information

NPI 1740909415
Entity Type Organization
Organization Name LEGACY COMMUNITY HEALTH SERVICES, INC
Provider Name LEGACY COMMUNITY HEALTH SERVICES, INC
Practice Address 10021 Main St Ste B3
Houston
TX 77025-5254
Practice Telephone 8325485000
Practice Fax Number 8327798862
Mailing Address Po Box 66308
Houston
TX 77266-6308
Mailing Telephone 8325485000
Mailing Fax Number 8327798862
Certification Date 2022-08-25
Enumeration Date 2022-08-25
Last Update Date 2022-08-25
Is Organization Subpart N

Authorized Official Information

Official Name ROBERT HILLIARD
Official Title CEO
Credential MD
Telephone 8325485277

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Legacy Community Health Services, Inc 3030 North St Ste 500, Beaumont, TX 77702-1424Federally Qualified Health Center (FQHC)2022-12-09
Legacy Community Health Services, Inc 353 Crenshaw Rd, Houston, TX 77034-1543Federally Qualified Health Center (FQHC)2019-07-23
Legacy Community Health Services, Inc 12540 Sugardale Dr, Stafford, TX 77477-3702Federally Qualified Health Center (FQHC)2021-12-29
Legacy Community Health Services, Inc 507 Crenshaw Rd., Houston, TX 77034-1543Federally Qualified Health Center (FQHC)2020-11-03
Legacy Community Health Services, Inc 5420 Dashwood Dr Ste 102, Houston, TX 77081-5333Federally Qualified Health Center (FQHC)2023-03-03
Legacy Community Health Services, Inc 12345 Bissonnet St., Houston, TX 77099-1332Federally Qualified Health Center (FQHC)2022-06-02
Legacy Community Health Services, Inc 2222 Cleburne St # 108, Houston, TX 77004-5177Federally Qualified Health Center (FQHC)2021-01-25
Legacy Community Health Services, Inc 3021 Texas Pkwy, Missouri City, TX 77489-5242Federally Qualified Health Center (FQHC)2022-08-15
Legacy Community Health Services, Inc 400 Keene St, Galena Park, TX 77547-3200Federally Qualified Health Center (FQHC)2021-07-16
Legacy Community Health Services, Inc 3021 Texas Parkway, Suite 300, Missouri City, TX 77489Pharmacy2022-06-14
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Taxonomy Information

Primary Taxonomy

Code 261QF0400X
Taxonomy Federally Qualified Health Center (FQHC)
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)
Grouping Ambulatory Health Care Facilities

Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Island Health Inc. 1 Mariners Lndg Unit D, Edgartown, MA 02539-7056Federally Qualified Health Center (FQHC)2024-03-28
Southwest Colorado Mental Health Center Inc 710 N Taylor St, Gunnison, CO 81230-2244Federally Qualified Health Center (FQHC)2024-04-05
The Daily Planet Inc · Daily Planet Health Services 24 E Cary St, Richmond, VA 23219-3733Federally Qualified Health Center (FQHC)2024-04-04
Native American Rehabilitation Assoc Inc 355 Nw Division St, Gresham, OR 97030-5523Federally Qualified Health Center (FQHC)2024-03-29
Family Health Care of Northwest Ohio, Inc. 1191 Westwood Dr, Van Wert, OH 45891-2464Federally Qualified Health Center (FQHC)2024-04-02
County of Santa Clara 2100 Forest Ave Ste 103&104, San Jose, CA 95128-1422Federally Qualified Health Center (FQHC)2024-04-02
Coastal Community Health Services, Inc. 3300 4th St, Brunswick, GA 31520-3779Federally Qualified Health Center (FQHC)2024-04-02
Southwest Colorado Mental Health Center Inc 1605 Grand Ave Unit 3, Norwood, CO 81423-5245Federally Qualified Health Center (FQHC)2024-04-05
Mountain Valleys Health Centers 610 W 3rd St, Dorris, CA 96023-9100Federally Qualified Health Center (FQHC)2024-03-28
Treasure Coast Community Health Inc 1545 9th St Sw, Vero Beach, FL 32962-4312Federally Qualified Health Center (FQHC)2024-04-05
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Location Information

Street Address 10021 MAIN ST STE B3
City HOUSTON
State TX
Zip Code 77025-5254
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Trenise Griffith 10021 Main St Ste B3, Houston, TX 77025-5254Family Nurse Practitioner2020-11-03
Rhonda Barnes Jordan 10021 Main St Ste B3, Houston, TX 77025-5254Family Medicine Physician2006-05-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Albert Edward Gunn 3514 Glen Haven Boulevard, Houston, TX 77025Internal Medicine Physician2012-08-29
Gac Dental PLLC 9540 South Main St., Ste 100, Houston, TX 77025Pediatric Dentist2019-04-25
Noble Anesthesia Consultants, PLLC 4122 Durness Way, Houston, TX 77025Clinic/Center2021-12-09
Roger Francisco Carbajal Mendoza 10023 S. Main, C-9, Houston, TX 77025Nephrology Physician2011-01-19
Aerosol Plus, Inc. · Wound Care Plus and Respiratory Plus 4104 Bellaire Blvd., Houston, TX 77025Durable Medical Equipment & Medical Supplies2009-05-11
Pulmonary Rx 10019 S. Main St., Suite A9-D, Houston, TX 77025Durable Medical Equipment & Medical Supplies2012-11-29
South Loop Dentistry, P.C. 3264 South Loop W., Houston, TX 77025Dentist2017-04-10
Matthew William Webb 4110 Bellaire Blvd Suite 210, Houston, TX 77025Pediatrics Physician2015-03-24
Kelly Ann Hodges · Kelly Ann Waterhouse 3511 Woodvalley Dr, Houston, TX 77025Student in an Organized Health Care Education/Training Program2011-06-06
Ronald Lee 9829 Cynthia Ann Court, Houston, TX 77025Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2012-08-28
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Legacy Community Health Services, Inc. 401 Branard St # 300-302, Houston, TX 77006-5015Federally Qualified Health Center (FQHC)2015-12-07
Legacy Community Health Services, Inc. 8805 Ferndale, Houston, TX 77017-6515Federally Qualified Health Center (FQHC)2016-11-07
Legacy Community Health Services, Inc. 9000 W Bellfort St, Houston, TX 77031-2410Federally Qualified Health Center (FQHC)2016-11-07
Legacy Community Health Center 8300 Homestead Rd, Suite #1, Houston, TX 77028-2145Community Health Clinic/Center2012-12-11
Legacy Community Health Services, Inc. 6677 Rookin St, Houston, TX 77074-5015Federally Qualified Health Center (FQHC)2017-03-16
Legacy Community Health Services, Inc. 9401 Southwest Fwy # 127, Houston, TX 77074-1407Federally Qualified Health Center (FQHC)2017-06-15
Legacy Community Health Services, Inc. 14030 Florence Rd, Sugar Land, TX 77498-3355Federally Qualified Health Center (FQHC)2021-07-16
Legacy Community Health Services, Inc. 450 N 11th St, Beaumont, TX 77702-1804Federally Qualified Health Center (FQHC)2015-12-07
Legacy Community Health Services, Inc. 8500 Highway 6 S, Houston, TX 77083-5709Federally Qualified Health Center (FQHC)2016-11-07
Legacy Community Health Services, Inc. 1900 Strawn Rd., Houston, TX 77039-2017Federally Qualified Health Center (FQHC)2020-11-03

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Legacy Community Health Services, Inc · 10021 Main St Ste B3, Houston, TX 77025-5254 · Federally Qualified Health Center (FQHC) (2024)

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