NPIMap

Organization Active NPI

Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
National Provider Identifier
1609762889
Registry record updated Jun 16, 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
1951 Southmore Ave.
Pasadena, TX 77502
Phone
(832) 548-5000
NPI assigned
Jun 16, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Robert Peter Palussek
Title
Coo & Ceo Interim
Phone
(832) 548-5000

Specialties & licenses 1

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

Addresses

Primary practice location

1951 Southmore Ave.
Pasadena, TX 77502

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
O20251029001545 TX Part A Provider - Federally Qualified Health Center (FQHC) 7911969092 Practice locations: Pasadena, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609762889. Details of each certification follow.

Federally qualified health center certification: CCN 971090

Legal name
LEGACY COMMUNITY HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 24, 2025
Last certification
Oct 24, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1951 Southmore Ave
Pasadena, TX 77502

National Provider Directory

National Provider Directory
Tax ID family
Montrose Clinic Inc77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

3455 Stagg Dr
Beaumont, TX 77701
Phone (409) 242-2531

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

400 Keene St
Galena Park, TX 77547

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

12751 Hillcroft Ave
Houston, TX 77085
Phone (281) 919-5294

13350 Woodforest Blvd
Houston, TX 77015
Phone (832) 386-4404

1415 California St
Ste 110
Houston, TX 77006
Phone (713) 665-8800

215 Westheimer Rd
Houston, TX 77006
Phone (713) 524-3494

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3605

3811 Lyons Ave
Ste 114
Houston, TX 77020
Phone (713) 366-7400

5400 Martin Luther King Blvd
Houston, TX 77021
Phone (281) 879-3020

5402 Lawndale St
Houston, TX 77023

5515 South Loop E
#I
Houston, TX 77033
Phone (713) 924-5500

5598 North Fwy
#A1
Houston, TX 77076

6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350

6565 De Moss Dr
Houston, TX 77074
Phone (713) 351-7361

6602 Winfield Rd
Houston, TX 77050

8440 Westpark Dr
Houston, TX 77063
Phone (281) 898-8300

8805 Ferndale
Houston, TX 77017
Phone (832) 233-0417

9401 Southwest Fwy
#127
Houston, TX 77074

9606 Mesa Dr
Houston, TX 77078
Phone (281) 879-3012

9636 Mesa Dr
#9618
Houston, TX 77078
Phone (281) 879-3016

14030 Florence Rd
Sugar Land, TX 77498

Ownership & related parties

All disclosed owners & managing parties 16

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 VP of Business Services Nov 28, 2007
Allison Wells Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Robert Peter Palussek Individual Corporate OfficerCeo Nov 20, 2024
Tamisha Jones Individual W-2 Managing EmployeeMD; Aug 20, 2025
Rebekah Le Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Ryan Martin Individual Corporate DirectorChairperson Oct 14, 2025 8.33%
Cathy Easter Individual Corporate DirectorTreasurer Oct 14, 2025 8.33%
Neftali Partida Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Gary Hammett Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Bryan Hlavika Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
George Hawkins Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Legacy Community Health Services, Inc Organization, Pasadena, TX Non-profit Operational/Managerial Control Oct 14, 2025 100%
Johnson Olatunji Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Cynthia Scharringhausen Individual Corporate DirectorBoard Director Oct 14, 2025 8.33%
Ronnie Kurtin Individual Corporate DirectorVice Chairperson Oct 14, 2025 8.33%
Taryn Gore Individual Corporate DirectorSecretary Oct 14, 2025 8.33%

Owners & managing parties with NPI records 2

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 741844 Federally qualified health center Operational/Managerial Control (100%) May 19, 2017
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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 333

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1609762889",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SOUTHMORE AVE.",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "PALUSSEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "COO & CEO INTERIM",
        "authorized_official_telephone_number": "832-548-5000"
    },
    "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 Pasadena, TX

Sources for this page

Verify at the official NPI Registry.