MEDICARE: ADORATION LEGACY GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1710833454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORATION LEGACY GROUP LLC

Provider Business Mailing Address
First Line	:	5807 DANCING OAKS CT
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4065
Country	:	US
Telephone Number	:	832-715-2137
Fax Number	:	832-715-2137

Provider Business Practice Location Address
First Line	:	5807 DANCING OAKS CT
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4065
Country	:	US
Telephone Number	:	832-715-2137
Fax Number	:	832-715-2137

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	MRS. PRINCESS KANDEH EGLAND
Credential	:	EGLAND
Telephone Number	:	832-715-2137

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

1467443812 — MR. RONALD GEORGE MARSH L.S.A.
Practice Location Address:

4114 CANDLEWOOD LN
MANVEL, TX
77578-5604

Practice Phone: 713-618-1477
Practice Fax: 281-489-9839

1164404463 — SHARON F MARSHALL RN GNP CS BC
Practice Location Address:

3723 WILLOW SPRINGS DR
MANVEL, TX
77578-4787

Practice Phone: 832-264-2133
Practice Fax: 281-412-4690

1790761161 — DR. ADAM CORLEY MD
Practice Location Address:

2619 SUMMER RAIN DR
MANVEL, TX
77578

Practice Phone: 832-335-0835
Practice Fax:

1447294996 — DR. SAMUEL DEON COLLINS DDS
Practice Location Address:

19404 MORRIS AVE
MANVEL, TX
77578

Practice Phone: 404-370-2510
Practice Fax:

1619988185 — MR. WILLIAM B. PATTERSON LCSW
Practice Location Address:

9802 LIVE OAK CT
MANVEL, TX
77578-5352

Practice Phone: 713-791-1414
Practice Fax:

1770698474 — MRS. ANITA MARIE KNOX D.D.S.
Practice Location Address:

2722 SANDCREST DR
MANVEL, TX
77578-3245

Practice Phone: 832-387-8111
Practice Fax: 832-387-8111

Directions to “ADORATION LEGACY GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.