LEGACY HOME HEALTH AGENCY, INC. – Home Health Agency, NPI 1689652166

LEGACY HOME HEALTH AGENCY, INC. is a healthcare provider. based in Corpus christi, Texas. specializing in Home Health Agency. The organization holds a License No. 008442 (). The NPI Number for LEGACY HOME HEALTH AGENCY, INC. is 1689652166

Main info

Organization
Name
LEGACY HOME HEALTH AGENCY, INC.
NPI
1689652166
Phone
(361) 855-0848
Address
5633 S STAPLES ST
Authorized Official
MR. AMBROSE HERNANDEZ OWNER/ADMINISTRATOR
Enumeration Date
5 January 2006
Last Update Date
14 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for LEGACY HOME HEALTH AGENCY, INC.

  • 5633, South Staples Street, South Side, Corpus Christi, Nueces County, Texas, 78411, United States

    SUITE 200

    CORPUS CHRISTI, TX 784114646

    Phone: (361) 855-0848

    Type: Mailing

  • 6655 FIRST PARK TEN BLVD STE 200

    SAN ANTONIO, TX 782134304

    Phone: (210) 736-1855

    Fax: (210) 736-7120

    Type: Mailing

  • 6000 S STAPLES ST STE 403A

    CORPUS CHRISTI, TX 784132952

    Phone: (361) 855-0848

    Type: Location

  • South Staples Street, South Side, Corpus Christi, Nueces County, Texas, 78412, United States

    SUITE 200

    CORPUS CHRISTI, TX 784114646

    Phone: (361) 855-0848

    Type: Location

  • 5277 OLD BROWNSVILLE RD STE 205

    CORPUS CHRISTI, TX 784053930

    Phone: (361) 855-0848

    Fax: (361) 854-6795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (770 days ago).

Enrollment records

1

Earliest due date

2024-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070208000235OHome Health AgencyTX2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78411)

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Reviews

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Frequently asked questions

What is the standard ID for LEGACY HOME HEALTH AGENCY, INC. in the U.S.?
In the U.S., LEGACY HOME HEALTH AGENCY, INC. is identified by NPI 1689652166.
Quick check: is LEGACY HOME HEALTH AGENCY, INC. active?
Public NPPES data shows LEGACY HOME HEALTH AGENCY, INC. with an active NPI status right now.
What type of care does LEGACY HOME HEALTH AGENCY, INC. provide?
LEGACY HOME HEALTH AGENCY, INC.'s profile centers on Home Health Agency. Clinical services aligned with this taxonomy classification.
What city is tied to LEGACY HOME HEALTH AGENCY, INC.?
The directory associates LEGACY HOME HEALTH AGENCY, INC. with Corpus Christi, Texas. Check all listed addresses for suites or satellite offices.
Who maintains LEGACY HOME HEALTH AGENCY, INC.'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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