MEDICARE: LEGACY COMMUNITY SUPPORT SERVICES

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1811827843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY COMMUNITY SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	8313 SOUTHWEST FWY STE 233
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8313 SOUTHWEST FWY STE 233
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1656
Country	:	US
Telephone Number	:	443-538-9358
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QUANTELL BATTLE
Credential	:
Telephone Number	:	443-538-9358

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “LEGACY COMMUNITY SUPPORT SERVICES ” Practice Location

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