Legacy Community Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LEGACY COMMUNITY HEALTH SERVICES, INC.

Practice address

4411 Anderson Rd
Houston, TX 77053-2307

Phone

(832) 548-5000

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Robert Peter Palussek

Title

Coo

Phone

(832) 548-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Federally qualified health center certification: CCN 451046

Legal name

LEGACY COMMUNITY HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 13, 2018

Last certification

Nov 13, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 25, 1982 in TX

Enrollment address

4411 Anderson Rd
Houston, TX 77053-2307

Tax ID family

Legacy Community Healthclosed77 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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1548909930
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1578816815
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Baytown, TX
  • NPI 1598459786
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
  • NPI 1609762889
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1619567567
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1619664448
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1619809977
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1629361308
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1639897879
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Galena Park, TX
  • NPI 1659943884
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1669110219
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1689341562
  NPD tax ID

Locations

All disclosed owners & managing parties 14

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 2

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

• Tamisha Elise Jones, MD

  • Pediatrics Physician
  • Houston, TX
  • NPI 1033412077

  W-2 Managing Employee

  CMS ownership
• Allison Floyd Wells, M.D.

  • Anesthesiology Physician
  • Spring, TX
  • NPI 1528268117

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 21

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

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1629510797",
    "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": "4411 ANDERSON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770532307",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.

• Federally Qualified Health Center (FQHC) in Houston, TX
• Providers in Houston, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.