LEGACY RECOVERY CENTER LLC – NPI #1518897560
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LEGACY RECOVERY CENTER LLC is a substance abuse rehabilitation facility located in MUKWONAGO, WI. NPPES recently assigned the NPI number 1518897560 to LEGACY RECOVERY CENTER LLC on May 21, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY RECOVERY CENTER LLC below.

NPI Profile for
LEGACY RECOVERY CENTER LLC

NPI Number
1518897560
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY RECOVERY CENTER LLC
Primary location
W332S9291 RED BRAE DR
MUKWONAGO, WI 53149-9265
Phone: (936) 615-0981 Fax: (323) 580-0308
Mailing address
Same as primary location
Organization Subpart
Yes - LEGACY RECOVERY CENTER LLC is subpart of another organization.
Authorized Official
RICHARD MILLER
CHIEF EXECUTIVE OFFICER
Phone: (936) 615-0981
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SECURE EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
W332S9291 RED BRAE DR,
MUKWONAGO, WI 77025-1669