SOUTHERN LEGACY HOSPICE LLC NPI 1760100697

NPI Information

  • NPI: 1760100697
  • Provider Name: SOUTHERN LEGACY HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 45D2286497
  • Address: 616 FM 1960 RD W STE 575
    HOUSTON, TX
    ZIP 77090
  • Phone: (213) 550-7205

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NPI Details

SOUTHERN LEGACY HOSPICE LLC is a hospice care community based in Houston, TX. SOUTHERN LEGACY HOSPICE LLC NPI is 1760100697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

616 FM 1960 RD W STE 575
HOUSTON, TX
ZIP 77090-042
Phone: (213) 550-7205

The provider's authorized official is Sajid H Siddiqui .
The authorized official title is Adm and has the following contact phone number (213) 550-7205.

The CLIA number assigned to this NPI record is 45D2286497 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2022 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QH0002XFamily MedicineHospice and Palliative MedicineNo
2251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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