Organization
LEGACY HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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
251G00000X
Community Based Hospice Care Agency
Primary
008442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003937
—
TX
05
—
001003938
—
TX
05
—
001013242
—
TX
05
—
001015098
—
TX
01
—
45D0945503
CLIA
TX
01
—
8616
CLIA
TX
Enumeration date
07/25/2007
Last updated
04/14/2026
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