Healthcare Provider Details

I. General information

NPI: 1285538157
Provider Name (Legal Business Name): LEGACYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 WESTHEIMER RD STE 200
HOUSTON TX
77077-5553
US

IV. Provider business mailing address

13111 WESTHEIMER RD STE 200
HOUSTON TX
77077-5553
US

V. Phone/Fax

Practice location:
  • Phone: 346-855-0151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: TABATHA HALL-POLITTE
Title or Position: CFO
Credential:
Phone: 346-855-0151