LEGACY COMMUNITY HEALTH SERVICES, INC (NPI# 1912290693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912290693 |
Entity Type | Organization |
Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC |
Practice Address |
3811 Lyons Ave Houston TX 77020-4730 |
Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
Practice Telephone | 8325485000 |
Mailing Telephone | (832) 548-5000 |
Enumeration Date | 2011-05-27 |
Last Update Date | 2017-06-28 |
Authorized Official Name | KATHERINE CALDWELL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8325485050 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 080462703 | 05 |
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 |
3811 LYONS AVE |
City | HOUSTON |
State | TX |
Zip Code | 77020-4730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356441844 | Funmilayo A Macaulay | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2006-09-24 |
1548882459 | Denisha L Prim | Case Manager/Care Coordinator | 3811 Lyons Ave, Houston, TX 77020-8306 | 2020-05-13 |
1558862391 | Dianna Jocelyn Gonzalez | Dietitian, Registered | 3811 Lyons Ave, Houston, TX 77020-8306 | 2018-02-27 |
1770023434 | Jerson Desiderio | Optometrist | 3811 Lyons Ave, Houston, TX 77020-8306 | 2017-02-28 |
1497101356 | Christelle Marie Hernandez | Nurse Practitioner | 3811 Lyons Ave, Houston, TX 77020 | 2016-05-10 |
1033578794 | Meganne Renee Duke | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2016-02-23 |
1689080830 | Sharon Ballestero | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2014-07-09 |
1417194887 | Zuleika Goss Pierson | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2009-01-07 |
1760675680 | Purva Thakore Lad | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2007-08-23 |
1720288053 | Alfred Boyce Wettermark IIi | Family Medicine | 3811 Lyons Ave, Houston, TX 77020-8306 | 2007-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154847515 | Legacy Community Health Services | Pharmacy | 3811 Lyons Avenue, Suite 114, Houston, TX 77020 | 2017-08-17 |
1154626000 | Tatum Martin | Case Manager/Care Coordinator | 4409 Rawley St., Houston, TX 77020 | 2011-01-24 |
1578891610 | Sunday E. Dike | Pharmacist | 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 | 2009-12-01 |
1386877116 | Mitchel Jay Abramsky | General Practice | 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 | 2009-08-27 |
1649420589 | Doan Thuy Do | Family Medicine | 464 Hahlo, Houston, TX 77020 | 2008-09-29 |
1770655193 | Hiep Nguyen | Dentist | 723 A Shotwell Street, Houston, TX 77020 | 2006-11-14 |
1790798288 | Roberto Cesar Garcia | Dentist | 6909 Lyons Ave, Houston, TX 77020 | 2006-08-14 |
1194733030 | Samuel Nmi Gold | Optometrist | 711 Shotwell, Houston, TX 77020 | 2006-08-04 |
1093780280 | Houston Community Health Centers Inc | Clinic/Center | 424b Hahlo Street, Houston, TX 77020 | 2006-02-21 |
1013415298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5602 Lyons Ave, Houston, TX 77020 | 2018-01-23 |
Find all providers in zip 77020 |
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 |
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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.