NPIMap

Organization Active NPI

Legacy Health Services

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1235459058
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LEGACY HEALTH SERVICES
Practice address
1915 N. MLK Jr. Drive
Milwaukee, WI 53212-3676
Phone
(866) 974-5559
Fax
(414) 302-5060
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharell McIntosh
Title
Executive Director
Phone
(866) 974-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1915 N. MLK Jr. Drive
Milwaukee, WI 53212-3676

Mailing address

1915 North Martin Luther King Jr. Drive
Suite #240W Box #35
Milwaukee, WI 53212-3676
Phone (866) 974-5559

National Provider Directory

National Provider Directory

Locations

1915 N Martin Luther King Dr
Ste 240W
Milwaukee, WI 53212

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1235459058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NORTH MARTIN LUTHER KING JR. DRIVE",
            "address_2": "SUITE #240W BOX #35",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123676",
            "telephone_number": "866-974-5559",
            "fax_number": "414-302-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N. MLK JR. DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123676",
            "telephone_number": "866-974-5559",
            "fax_number": "414-302-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "SHARELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "18669745559"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.