Active NPI
Legacy Home Health Agency, Inc.
- Home Health Agency
- Pharr, TX
National Provider Identifier
1033319223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008442
- Legal business name
- LEGACY HOME HEALTH AGENCY, INC.
- Practice address
- 213 E Ferguson St
Suite C
Pharr, TX 78577-1826 - Phone
- (956) 787-9947
- Fax
- (956) 787-1779
- NPI assigned
- Jul 25, 2007
- Organization subpart
- Yes
- Parent organization
- LEGACY HOME HEALTH AGENCY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ambrose Hernandez
- Title
- Administrator/Ceo
- Phone
- (361) 855-0848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008442 | TX | Primary |
Addresses
Primary practice location
213 E Ferguson St
Suite C
Pharr, TX 78577-1826
Mailing address
5277 Old Brownsville Rd
Sutie 205
Corpus Christi, TX 78405-3929
Phone (361) 855-0848
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003938 | Medicaid | TX | |
| 1015098 | Medicaid | TX | |
| 1003937 | Medicaid | TX | |
| 8616 | Other | TX | CLIA |
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Home Health Agency Inc
- Part of
- Legacy Home Health Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Corpus Christi, TX
- NPI 1124228317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1033319223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5277 OLD BROWNSVILLE RD",
"address_2": "SUTIE 205",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784053929",
"telephone_number": "361-855-0848",
"fax_number": "631-854-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E FERGUSON ST",
"address_2": "SUITE C",
"city": "PHARR",
"state": "TX",
"postal_code": "785771826",
"telephone_number": "956-787-9947",
"fax_number": "956-787-1779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HOME HEALTH AGENCY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY HOME HEALTH AGENCY, INC.",
"enumeration_date": "2007-07-25",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "AMBROSE",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "361-855-0848"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003938",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015098",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003937",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "8616",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.