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

NPI Status: Active since March 03, 2023

Contact Information

5420 DASHWOOD DR STE 102
HOUSTON, TX
ZIP 77081
Phone: (832) 548-5000

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 45D2275146
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 01-16-2025

About LEGACY COMMUNITY HEALTH SERVICES, INC

Legacy Community Health Services, Inc is a primary care provider established in Houston, Texas operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1407556079 assigned on March 2023. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Robert Hilliard Jr. Md (Ceo)

NPI
1407556079
Provider Name
LEGACY COMMUNITY HEALTH SERVICES, INC
Entity Type
Organization
Location Address
5420 DASHWOOD DR STE 102 HOUSTON, TX 77081
Location Phone
(832) 548-5000
Mailing Address
PO BOX 66308 HOUSTON, TX 77266
Mailing Phone
(832) 548-5000
Mailing Fax
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
03-03-2023
Last Update Date
03-03-2023
Code Navigator

A primary care provider (PCP) like Legacy Community Health Services, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Connected Silver - PPO
    • Connected Silver (QualChoice) - POS
    • Connected Silver (QualChoiceLife) - PPO
    • Connected Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
  • Ambetter from Sunshine Health

    • Clear VALUE Silver - HMO
    • Complete VALUE Gold - HMO
    • Complete VALUE Silver - HMO
    • Elite VALUE Bronze - HMO
    • Focused VALUE Silver - HMO
    • Standard Expanded Bronze VALUE - HMO
    • Standard Gold VALUE - HMO
    • Standard Silver VALUE - HMO
  • Ambetter from Superior HealthPlan

    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Clear VALUE Silver - HMO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
    • Elite Bronze + Vision + Adult Dental - PPO
    • Elite Gold - PPO
    • Elite Gold + Vision + Adult Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT HILLIARD JR. MD

Authorized Official Title
CEO
Authorized Official Phone
(832) 548-5277

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2275146
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 17, 2023
Certificate Expiration Date
January 16, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Legacy Community Health Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407556079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240710512014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1407556079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942574454 ANN ELIZABETH REDWINE RD, LD, CDE
Individual
Dietitian, Registered5420 DASHWOOD DR STE 102
HOUSTON, TX 77081
(713) 486-2919

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407556079, enumerated in the NPI registry as an "organization" on March 03, 2023

The provider is located at 5420 Dashwood Dr Ste 102 Houston, Tx 77081 and the phone number is (832) 548-5000

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2275146 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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