Healthcare Provider Details

I. General information

NPI: 1801710397
Provider Name (Legal Business Name): LEGACY OF HOUSTON HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5519 LOUETTA RD STE F
SPRING TX
77379-7878
US

IV. Provider business mailing address

5519 LOUETTA RD STE F
SPRING TX
77379-7878
US

V. Phone/Fax

Practice location:
  • Phone: 713-389-5046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERNESHA DAVIS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 713-389-5046