Legacy Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEGACY HOME HEALTHCARE LLC

Practice address

6410 W North Ave
Wauwatosa, WI 53213-2015

Phone

(414) 930-0464

Fax

(414) 930-0493

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ontarius Bell

Title

Administrator

Phone

(414) 460-7971

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1861852618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-930-0464",
            "fax_number": "414-930-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-930-0464",
            "fax_number": "414-930-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ONTARIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-460-7971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanmarie Elizabeth Leclair, RN
• Margaret D Ledoux, BS
• Annie Lee, PHARMD
• Matthew B Lee, M.D.
• Peter Lee
• Legacy Lane Transportation LLC
• Benjamin Lehrer, PA-C
• Lei Lei, MD
• Amy Elizabeth Leidel, MSW
• Cassandra Leightner, PHARMD

• Home Health Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.