Legacy Recovery Health Center

LBN: Legacy Recovery Health Center
Legacy Recovery Health Center is an health care organization with primary practice located at 388 W Little York Rd , Houston TX 77076-1303. The organization recently has 9 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Legacy Recovery Health Center can be contacted via phone (713) 636-2964, or through Jacques, Elijah via phone (713) 636-2964.

Contact Information

Primary practice address
388 W Little York Rd Houston TX 77076-1303
Phone: (713) 636-2964
Fax: (713) 636-9686
Website:
Map and Directions
Authorized official contact:
Name: Jacques, Elijah LCDC-I
Phone: (713) 636-2964

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 10734 Texas
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 10734 Texas
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 10734 Texas
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 10734 Texas
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 10734 Texas
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 10734 Texas
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 10734 Texas
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 3648-3655 Texas

Profile Details

NPI number 1477993814
LBN Legal business name Legacy Recovery Health Center
DBA Doing business as
Authorized official Jacques, Elijah LCDC-I
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2013
Last updated Mar 24th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477993814 NPPES
Texas MEDICAID 326764301

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