NPIMap

Organization Active NPI

Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1093068348
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LEGACY COMMUNITY HEALTH SERVICES, INC
Practice address
11000 Scott St
Houston, TX 77047-1500
Phone
(832) 548-5076
Fax
(713) 523-4897
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Peter Palussek Jr.
Title
Coo
Phone
(832) 548-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

11000 Scott St
Houston, TX 77047-1500

Mailing address

PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603000708 TX Part A Provider - Federally Qualified Health Center (FQHC) 7911969092 Practice locations: Houston, TX

Federally qualified health center certification: CCN 741844

Legal name
LEGACY COMMUNITY HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 2, 2014
Last certification
Jun 2, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 25, 1982 in TX
Enrollment address
11000 Scott St
Houston, TX 77047-1500

National Provider Directory

National Provider Directory
Tax ID family
Legacy Community Healthclosed77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

11000 Scott St
Houston, TX 77047
Phone (832) 548-5076

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melisa Garcia Individual W-2 Managing EmployeeSr. Director of Business Services Nov 28, 2007
Allison Wells Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Robert Peter Palussek Individual Corporate OfficerCoo and Interim Ceo Nov 20, 2024
Rebekah Le Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Ryan Martin Individual Corporate DirectorChairperson Nov 5, 2023 8.33%
Cathy Easter Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Neftali Partida Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Gary Hammett Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Bryan Hlavika Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
George Hawkins Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Legacy Community Health Services, Inc Organization, Houston, TX Corporation, Non-profit Operational/Managerial Control May 19, 2017 100%
Johnson Olatunji Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Cynthia Scharringhausen Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%
Ronnie Kurtin Individual Corporate DirectorVice Chairperson Nov 5, 2023 8.33%
Taryn Gore Individual Corporate DirectorBoard Director Nov 5, 2023 8.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Community Health Services, IncHouston, TX, CCN 671849 Federally qualified health center Operational/Managerial Control (100%) May 15, 2017
Legacy Community Health Services, IncHouston, TX, CCN 671985 Federally qualified health center Operational/Managerial Control (100%) Jul 12, 2012
Legacy Community Health Services, IncHouston, TX, CCN 741923 Federally qualified health center Operational/Managerial Control (100%) Jul 21, 2015
N/aHouston, TX, CCN 741951 Federally qualified health center Operational/Managerial Control (100%) May 19, 2017
N/aDeer Park, TX, CCN 741954 Federally qualified health center Operational/Managerial Control (100%) May 22, 2017
N/aBeaumont, TX, CCN 451012 Federally qualified health center Operational/Managerial Control (100%) Jul 9, 2018
Legacy Community Health Services, IncStafford, TX, CCN 451186 Federally qualified health center Operational/Managerial Control (100%) Jan 24, 2022
Legacy Community Health Services, IncHouston, TX, CCN 451187 Federally qualified health center Operational/Managerial Control (100%) Aug 9, 2021
Legacy Community Health Services, IncHouston, TX, CCN 451188 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2021
Legacy Community Health Services, IncHouston, TX, CCN 671015 Federally qualified health center Operational/Managerial Control (100%) May 16, 2022
Legacy Community Health Services, IncHouston, TX, CCN 671016 Federally qualified health center Operational/Managerial Control (100%) Aug 15, 2022
Legacy Community Health Services, IncHouston, TX, CCN 671020 Federally qualified health center Operational/Managerial Control (100%) Aug 23, 2022
Legacy Community Health Services, IncMissouri City, TX, CCN 971002 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2022
Legacy Community Health Services, IncBeaumont, TX, CCN 451907 Federally qualified health center Operational/Managerial Control (100%) Dec 19, 2022
N/aHouston, TX, CCN 671121 Federally qualified health center Operational/Managerial Control (100%) Aug 17, 2023
Legacy Community Health Services, IncBaytown, TX, CCN 671128 Federally qualified health center Operational/Managerial Control (100%) Aug 29, 2023
Legacy Community Health Services, IncHouston, TX, CCN 971012 Federally qualified health center Operational/Managerial Control (100%) Jun 7, 2024
Legacy Community Health Services, IncHouston, TX, CCN 971086 Federally qualified health center Operational/Managerial Control (100%) Sep 23, 2025
Legacy Community Health Services, IncHouston, TX, CCN 971085 Federally qualified health center Operational/Managerial Control (100%) Sep 23, 2025
Legacy Community Health Services, IncPasadena, TX, CCN 971090 Federally qualified health center Operational/Managerial Control (100%) Oct 14, 2025

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1093068348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308",
            "telephone_number": "832-548-5000",
            "fax_number": "713-523-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SCOTT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471500",
            "telephone_number": "832-548-5076",
            "fax_number": "713-523-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "PALUSSEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-548-5000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.