Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Sobriety and Recovery LLC

Organization In Home Supportive Care Agency · NPI 1174490536

Legacy Sobriety and Recovery LLC is an In Home Supportive Care Agency in Milwaukee, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2810 W Kilbourn Ave Apt 3
Milwaukee, WI 53208-3501
Phone: (414) 309-3213
Fax: (414) 309-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility Taxonomy 310400000X
Adult Care Home Facility Taxonomy 311ZA0620X
Respite Care Taxonomy 385H00000X

Record details

NPI number1174490536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Davida Clifton — Owner · (414) 309-3213
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address2810 W Kilbourn Ave Apt 3, Milwaukee, WI 53208-3501

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