LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1407556079
Clinic/Center - Federally Qualified Health Center (FQHC) in Houston, TX

Active since March 03, 2023CLIA 45D2271922 · Waiver
5420 DASHWOOD DR STE 102, HOUSTON, TX 77081(832) 548-5000 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Mar 3, 2023 (2 updates tracked since 2023).

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 1407556079) is a healthcare organization registered as a federally qualified health center (fqhc) in Houston, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Robert Peter Palussek, Coo, as its authorized official.

NPPES Registry Identity

NPI1407556079
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY COMMUNITY HEALTH SERVICES, INC
Location Address5420 DASHWOOD DR STE 102Houston, TX 77081-5333
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5000 · Fax (713) 559-3255
Organization SubpartNo
Authorized OfficialRobert Peter PalussekCoo · (832) 548-5000
Enumeration DateMarch 3, 2023
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1407556079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5420 DASHWOOD DR STE 102, Houston, TX 77081

Accepted Insurance

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 45D2271922

Legacy Community Health - Gulfton Ste 102 · Houston, TX
Active · expires Nov 9, 2026
CLIA Number45D2271922
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorElisa Brown
Laboratory Phone(713) 814-3293
Laboratory LocationLegacy Community Health - Gulfton Ste 1025420 Dashwood Dr Suite 102, Houston, TX 77081
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1407556079. It was assigned to this organization in the NPPES registry on March 3, 2023.

Where is Legacy Community Health Services, Inc located?

Legacy Community Health Services, Inc is located at 5420 Dashwood Dr Ste 102, Houston, TX 77081. 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.

Does Legacy Community Health Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2271922) is associated with this NPI, valid through November 9, 2026. 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 1 other insurer 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 19 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.