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

5215 Jensen Dr
Houston, TX 77026-2514

Phone

(832) 548-5000

NPI assigned

Jul 10, 2019

Last updated

Jan 9, 2025By the provider in NPPES

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922650035. Details of each certification follow.

• CCN 451072 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 451072

Legal name

LEGACY COMMUNITY HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 14, 2019

Last certification

Aug 14, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 25, 1982 in TX

Enrollment address

5215 Jensen Dr
Houston, TX 77026-2514

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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Beaumont, TX
  • NPI 1811608896
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1841033842
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1871846964
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1871998831
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1891460903
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
  • NPI 1902754351
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1912290693
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1912492109
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1912508235
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1922994102
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Beaumont, TX
  • NPI 1932694122
  NPD tax ID
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1962013151
  NPD tax ID

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": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1922650035",
    "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": "5215 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770262514",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "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(Closed)
• Legacy Community Pharmacy Services (Legacy Community Health Services Pharmacy - Sharpstown)
• Legacy Community Support Services

• 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.