LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1245583590
Clinic/Center - Federally Qualified Health Center (FQHC) in Houston, TX
About Legacy Community Health Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY COMMUNITY HEALTH SERVICES, INC (NPI 1245583590) is a healthcare organization registered as a federally qualified health center (fqhc) in Houston, Texas and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Robert Peter Palussek, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Community Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2138404
Legacy Community Health Kipp-Dream · Houston, TXOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Legacy Community Health Services, Inc's NPI number?
The NPI number for Legacy Community Health Services, Inc is 1245583590. It was assigned to this organization in the NPPES registry on October 24, 2012.
Where is Legacy Community Health Services, Inc located?
Legacy Community Health Services, Inc is located at 500 Tidwell Rd, Houston, TX 77022. The listed phone number is (832) 548-5000.
What is Legacy Community Health Services, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Legacy Community Health Services, Inc enrolled in Medicare?
Yes. Legacy Community Health Services, Inc is registered in the Medicare PECOS enrollment system.
When is Legacy Community Health Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Texas, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Legacy Community Health Services, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2138404) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Legacy Community Health Services, Inc accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Legacy Community Health Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Legacy Community Health Services, Inc was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Legacy Community Health Services, Inc · NPI 1245583590
Federally Qualified Health Center (FQHC) organization in Houston, Texas. Organization record, active in the CMS NPPES registry since October 24, 2012.
## Identity
- **NPI:** 1245583590 (Entity type: Organization)
- **Enumerated:** October 24, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Robert Palussek, COO
## Practice location
- **Address:** 500 TIDWELL RD, Houston, TX 77022-2122
- **Phone:** (832) 548-5000 · **Fax:** (713) 523-4897
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Texas, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245583590) · Data from the CMS NPPES public registry.