Overview
Legacy Community Health Services, Inc. is a Federally Qualified Health Center (FQHC) (organization) practicing in Houston, Texas. The National Provider Identifier (NPI) is #1245750108, which was assigned on June 22, 2017, and the registration record was last updated on October 4, 2021. The practitioner's main practice location is at 5620 W Tidwell Rd, Houston, TX 77091-4638; the contact telephone number is 8325485000. 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 L Hilliard Jr. (Ceo). Legacy Community Health Services, Inc. is licensed to practice in the state of Texas.
Provider Information
| NPI | 1245750108 |
| Entity Type | Organization |
| Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC. |
| Provider Name | LEGACY COMMUNITY HEALTH SERVICES, INC. |
| Practice Address | 5620 W Tidwell Rd Houston TX 77091-4638 |
| Practice Telephone | 8325485000 |
| Mailing Address | Po Box 66308 Houston TX 77266-6308 |
| Mailing Telephone | 8325485000 |
| Certification Date | 2021-10-04 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-10-04 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | ROBERT L HILLIARD JR. |
| Official Title | CEO |
| Credential | MD |
| Telephone | 8325485277 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) | TX |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Legacy Community Health Services, Inc. | 8805 Ferndale, Houston, TX 77017-6515 | Federally Qualified Health Center (FQHC) | 2016-11-07 |
| Legacy Community Health Services, Inc. | 8329 Lawndale St, Houston, TX 77012-3707 | Federally Qualified Health Center (FQHC) | 2016-11-07 |
| Legacy Community Health Services, Inc. | 1305 Benson St, Houston, TX 77020-4044 | Federally Qualified Health Center (FQHC) | 2016-11-07 |
| Legacy Community Health Services, Inc. | 13350 Woodforest Blvd, Houston, TX 77015-2826 | Federally Qualified Health Center (FQHC) | 2020-08-07 |
| Legacy Community Health Services, Inc. | 1900 Strawn Rd., Houston, TX 77039-2017 | Federally Qualified Health Center (FQHC) | 2020-11-03 |
| Legacy Community Health Services, Inc. | 450 N 11th St, Beaumont, TX 77702-1804 | Federally Qualified Health Center (FQHC) | 2015-12-07 |
| Legacy Community Health Services, Inc. | 6700 Mount Carmel St, Houston, TX 77087-6624 | Federally Qualified Health Center (FQHC) | 2017-06-26 |
| Legacy Community Health Services, Inc. | 9401 Southwest Fwy # 127, Houston, TX 77074-1407 | Federally Qualified Health Center (FQHC) | 2017-06-15 |
| Legacy Community Health Services, Inc. | 6602 Windfield, Houston, TX 77050-4704 | Federally Qualified Health Center (FQHC) | 2016-11-08 |
| Legacy Community Health Services, Inc. | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | Federally Qualified Health Center (FQHC) | 2020-10-07 |
| Find all providers with the same name | |||
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 Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Southwest Colorado Mental Health Center Inc | 710 N Taylor St, Gunnison, CO 81230-2244 | Federally Qualified Health Center (FQHC) | 2024-04-05 |
| Goshen Medical Center Incorporated | 158 Memorial Ct, Jacksonville, NC 28546-6322 | Federally Qualified Health Center (FQHC) | 2024-04-05 |
| Amistad Community Health Center, Incorporated | 3602 Mcardle Rd Rm Wrm2, Corpus Christi, TX 78415-2623 | Federally Qualified Health Center (FQHC) | 2024-04-01 |
| The Daily Planet Inc · Daily Planet Health Services | 24 E Cary St, Richmond, VA 23219-3733 | Federally Qualified Health Center (FQHC) | 2024-04-04 |
| Gaston Family Health Services, Inc. | 308 E Virginia Ave, Bessemer City, NC 28016 | Federally Qualified Health Center (FQHC) | 2024-03-28 |
| Mountain Valleys Health Centers | 610 W 3rd St, Dorris, CA 96023-9100 | Federally Qualified Health Center (FQHC) | 2024-03-28 |
| Native American Rehabilitation Assoc Inc | 355 Nw Division St, Gresham, OR 97030-5523 | Federally Qualified Health Center (FQHC) | 2024-03-29 |
| Share Our Selves Corporation | 1650 Adams Ave, Costa Mesa, CA 92626-4958 | Federally Qualified Health Center (FQHC) | 2024-04-02 |
| Island Health Inc. | 1 Mariners Lndg Unit D, Edgartown, MA 02539-7056 | Federally Qualified Health Center (FQHC) | 2024-03-28 |
| County of Santa Clara | 2100 Forest Ave Ste 103&104, San Jose, CA 95128-1422 | Federally Qualified Health Center (FQHC) | 2024-04-02 |
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Location Information
| Street Address | 5620 W TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77091-4638 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amber Lane | 5620 W Tidwell Rd, Houston, TX 77091-4638 | Mental Health Counselor | 2014-10-17 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| David G Kallel | 511 A West Tidwell, Houston, TX 77091 | Radiology Practitioner Assistant | 2008-10-17 |
| V.a.l.o.r Psychotherapy | 1305 1/2 West Tidwell Rd., Unit 10, Houston, TX 77091 | Mental Health Counselor | 2021-11-03 |
| Doctors Anesthesia Tidwell PLLC | 5010 West Tidwell Rd, Houston, TX 77091 | Anesthesiology Physician | 2013-12-09 |
| Houston Lung Center | 5211 4 Rivers Court, Houston, TX 77091 | Internal Medicine Physician | 2024-02-14 |
| Michael Reagan Mckewen | 6915 Antoine, Suite C, Houston, TX 77091 | General Practice Dentistry | 2008-08-19 |
| 5815 Antoine Dr., Houston, TX 77091 | State or Local Public Health Clinic/Center | 2007-01-24 | |
| Nhan V Nguyen | 6926 Antoine Dr., Houston, TX 77091 | Pharmacist | 2009-12-11 |
| 6805 Apollo St., Houston, TX 77091 | Early Intervention Provider Agency | 2013-04-10 | |
| Leggett Prosthetics LLC | 1019 Homer St, Houston, TX 77091 | Prosthetic/Orthotic Supplier | 2020-03-13 |
| Arden David Breaux II | 898 1/2 Granville Drive, Houston, TX 77091 | Assisted Living Facility | 2017-08-24 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Legacy Community Health Services, Inc | 10535 Harwin Dr, Houston, TX 77036-1505 | Federally Qualified Health Center (FQHC) | 2021-08-10 |
| Legacy Community Health Services, Inc | 1415 California St, Houston, TX 77006-2602 | Federally Qualified Health Center (FQHC) | 2011-06-09 |
| Legacy Community Health Services, Inc | 3509 Garth Rd, Baytown, TX 77521-3854 | Federally Qualified Health Center (FQHC) | 2023-06-08 |
| Legacy Community Health Services, Inc | 12345 Bissonnet St., Houston, TX 77099-1332 | Federally Qualified Health Center (FQHC) | 2022-06-02 |
| Legacy Community Health Services, Inc | 8430 Westglen Dr, Houston, TX 77063-6312 | Federally Qualified Health Center (FQHC) | 2012-10-26 |
| Legacy Community Health Services, Inc | 6700 Bellaire Blvd, Houston, TX 77074-4906 | Federally Qualified Health Center (FQHC) | 2014-12-18 |
| Legacy Community Health Services, Inc | 5400 Martin Luther King Jr Blvd, Houston, TX 77021-3010 | Federally Qualified Health Center (FQHC) | 2012-10-24 |
| Legacy Community Pharmacy Services · Legacy Community Health Services Pharmacy - Sharpstown | 6441 High Star Dr Ste 100, Houston, TX 77074-5005 | Community/Retail Pharmacy | 2019-12-19 |
| Legacy Community Health Services, Inc | 3030 North St Ste 500, Beaumont, TX 77702-1424 | Federally Qualified Health Center (FQHC) | 2022-12-09 |
| Legacy Community Health Services, Inc | 3021 Texas Parkway, Suite 300, Missouri City, TX 77489 | Pharmacy | 2022-06-14 |
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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.
