Legacy Home Health Agency, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

008442 Issued in TX

Legal business name

LEGACY HOME HEALTH AGENCY, INC.

Practice address

5277 Old Brownsville Rd Ste 205
Corpus Christi, TX 78405-3930

Phone

(361) 855-0848

Fax

(361) 854-6795

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Ambrose Hernandez

Title

Owner/Administrator

Phone

(210) 736-1855

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 451786

Legal name

LEGACY HOME HEALTH AGENCY INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 15, 2005

Last certification

Jul 29, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 1, 1997 in TX

Enrollment address

5541 Bear LN
Ste 218B
Corpus Christi, TX 78405-4119

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Legacy Home Health Agency, Inc.

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1689652166

  2567409105

  Same PAC ID

Listed as

Legacy Home Health Agency IncCCN 451786 · All quality measures

Ownership

For-Profit

Certified

Mar 15, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Legacy Home Health Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Home Health Agency, Inc.

  • Home Health Agency
  • Pharr, TX
  • NPI 1033319223
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Legacy Home Health Agency, Inc.

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1689652166

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• George L. Franklin, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1417967951

  Hospice

  Care Compare affiliation
• Jere Matthew Johnson, M.D.

  • Family Medicine Physician
  • Mission, TX
  • NPI 1053355578

  Hospice

  Care Compare affiliation
• Javier Murillo, MD

  • Family Medicine Physician
  • Mission, TX
  • NPI 1235293085

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1124228317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 FIRST PARK TEN BLVD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134304",
            "telephone_number": "210-736-1855",
            "fax_number": "210-736-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 OLD BROWNSVILLE RD STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053930",
            "telephone_number": "361-855-0848",
            "fax_number": "361-854-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-736-1855"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "008442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003938",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003937",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013242",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0945503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015098",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ying-Ju Lee, DDS
• Leechelle 59, LLC
• Ben A Leeson, MD
• Kimberly Anne Barnes Leeson, M.D.
• Legacy Adult Day Care, Inc.
• Legacy Home Health Agency, Inc.
• Legacy Therapy Center Inc.
• Legacy Therapy Center, Inc.
• Jonathan Scott Leibig, M.D.
• Dolores M Leinneweber, PHARMD

• Community Based Hospice Care Agency in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.