LEGACY COMPANIES LLC (NPI# 1215572789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215572789 |
| Entity Type | Organization |
| Organization Name | LEGACY COMPANIES LLC |
| Practice Address |
50288 Chimney Rock Rd Eleva WI 54738-9305 |
| Practice Telephone | 7155330194 |
| Mailing Telephone | 7155330194 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | ANDREW R EVENSON (OWNER) |
| Authorized Official Telephone | 7155330194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| LEGACY HOME CARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LEGACY COMPANIES LLC | 2870 Se 75th Ave Ste 204, Hillsboro, OR 97123 |
| Street Address |
50288 CHIMNEY ROCK RD |
| City | ELEVA |
| State | WI |
| Zip Code | 54738-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346673688 | Nick Samuel Preston | Chiropractor | 50667 North Main Street, Eleva, WI 54738-0305 | 2013-08-09 |
| 1093944480 | Roseann E Carr | Massage Therapist | S11110 State Road 93, Eleva, WI 54738-4131 | 2009-07-07 |
| 1134651441 | Zachary Mestelle | Physical Therapist | E4050 Interlachen Blvd, Eleva, WI 54738-4139 | 2017-03-28 |
| 1851796353 | Melissa Ostertag | Dental Hygienist | S459 Norden Rd, Eleva, WI 54738-7805 | 2014-10-27 |
| 1174080998 | Jerry Kreibich | Contractor | W25551 Us Highway 10, Eleva, WI 54738-8962 | 2019-02-28 |
| 1699989657 | Cynthia Yvonne Hiles | Licensed Practical Nurse | S9595 Lowes Creek Rd, Eleva, WI 54738-9040 | 2007-05-09 |
| 1457745960 | Provisions Healthcare LLC. | Local Education Agency (LEA) | E2535 Cedar Rd, Eleva, WI 54738-9083 | 2015-03-23 |
| 1194126730 | Terryl Bauer | Dental Hygienist | W47 County Road Z, Eleva, WI 54738-9577 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080998 | Jerry Kreibich | Contractor | W25551 Us Highway 10, Eleva, WI 54738-8962 | 2019-02-28 |
| 1134651441 | Zachary Mestelle | Physical Therapist | E4050 Interlachen Blvd, Eleva, WI 54738-4139 | 2017-03-28 |
| 1457745960 | Provisions Healthcare LLC. | Local Education Agency (LEA) | E2535 Cedar Rd, Eleva, WI 54738-9083 | 2015-03-23 |
| 1851796353 | Melissa Ostertag | Dental Hygienist | S459 Norden Rd, Eleva, WI 54738-7805 | 2014-10-27 |
| 1194126730 | Terryl Bauer | Dental Hygienist | W47 County Road Z, Eleva, WI 54738-9577 | 2014-09-15 |
| 1346673688 | Nick Samuel Preston | Chiropractor | 50667 North Main Street, Eleva, WI 54738-0305 | 2013-08-09 |
| 1093944480 | Roseann E Carr | Massage Therapist | S11110 State Road 93, Eleva, WI 54738-4131 | 2009-07-07 |
| 1699989657 | Cynthia Yvonne Hiles | Licensed Practical Nurse | S9595 Lowes Creek Rd, Eleva, WI 54738-9040 | 2007-05-09 |
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700705 | Omega Prenatal Care Coordination Services LLC | Case Management | 9921 W Dean Rd, Milwaukee, WI 53224-2446 | 2020-11-06 |
| 1386243772 | Premier Care Services | Case Management | 2200 N Mayfair Rd, Wauwatosa, WI 53226-2252 | 2020-10-19 |
| 1124626544 | Child Care Matters Network Inc | Case Management | 7817 W Brown Deer Rd Ste 6, Milwaukee, WI 53223-1916 | 2020-10-16 |
| 1457959355 | Here for You Prenatal Coordination Services LLC | Case Management | 739 S 89th St, West Allis, WI 53214-2814 | 2020-10-13 |
| 1386241909 | Gloria Baxter | Case Management | 907 W Atkinson Ave, Milwaukee, WI 53206-3326 | 2020-10-06 |
| 1891301891 | Just Me & Mommy Family Services LLC | Case Management | 6830 W Villard Ave Ste 308, Milwaukee, WI 53218-3968 | 2020-09-16 |
| 1407467350 | Miranda Marie Porter | Case Management | 4760 N 22nd St, Milwaukee, WI 53209-6335 | 2020-08-13 |
| 1801407051 | Bundle of Love Prenatal LLC | Case Management | 5406 N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2020-08-12 |
| 1174133326 | Sharing Love Corporation | Case Management | 2200 N 12th St, Milwaukee, WI 53205-1320 | 2020-08-03 |
| 1851901268 | Community Work Services, Inc. | Case Management | 1402 Greenway Cross Ste 200, Madison, WI 53713-3181 | 2020-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.