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Organization
LEGACY HOME HEALTH AGENCY, INC.
Active
Organization
LEGACY HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMBROSE HERNANDEZ (OWNER/ADMINISTRATOR)
(210) 736-1855
Entity
Organization
Contact information
Practice address
5277 OLD BROWNSVILLE RD STE 205, CORPUS CHRISTI, TX 78405-3930
(361) 855-0848
(361) 854-6795
Mailing address
6655 FIRST PARK TEN BLVD STE 200, SAN ANTONIO, TX 78213-4304
(210) 736-1855
(210) 736-7120
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
008442
TX
251E00000X
Home Health Agency
Primary
008442
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015098
—
TX
05
—
0244097-01
—
TX
05
—
024409701
—
TX
05
—
1003935
—
TX
05
—
1003937
—
TX
05
—
1003938
—
TX
01
—
45D0945503
CLIA
TX
Enumeration date
01/05/2006
Last updated
04/14/2026
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