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Legacy Home Healthcare Llc
Home Health Agency in Wauwatosa, Wisconsin
NPI 1861852618

Legacy Home Healthcare Llc is a Home Health Agency based in Wauwatosa, WI. Legacy Home Healthcare Llc practices in Wauwatosa, WI. The NPI Number for Legacy Home Healthcare Llc is 1861852618 and holds a License No. (Wisconsin).

The current practice location address for Legacy Home Healthcare Llc is 6410 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-930-0464 and via fax at 414-930-0493.

Location: 6410 W North Ave, Wauwatosa, WI, 53213-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861852618
Provider Name
Legacy Home Healthcare Llc
Credential
Provider Entity Type
Organization
Address
6410 W North Ave, Wauwatosa, WI, 53213-2015
Phone Number
414-930-0464
Fax Number
414-930-0493
Provider Enumeration Date
03/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100054125 05 WI
institution
Provider Business Practice Location Address Details
Address
6410 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-2015
Phone Number
414-930-0464
Fax Number
414-930-0493
person
Provider Business Mailing Address Details
Address
6410 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-2015
Phone Number
414-930-0464
Fax Number
414-930-0493
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Wisconsin)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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