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LEGACY SOBRIETY AND RECOVERY LLC
NPI 1174490536
Assisted Living Facility - Assisted Living, Mental Illness in Milwaukee, WI

Active since October 21, 2025
2810 W KILBOURN AVE APT 3, MILWAUKEE, WI 53208(414) 309-3213(414) 309-3213 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Legacy Sobriety And Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY SOBRIETY AND RECOVERY LLC (NPI 1174490536) is a healthcare organization registered as an assisted living, mental illness in Milwaukee, Wisconsin and active in the NPI registry since October 2025. The organization lists Davida Clifton, Owner, as its authorized official.

NPPES Registry Identity

NPI1174490536
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLEGACY SOBRIETY AND RECOVERY LLC
Location Address2810 W KILBOURN AVE APT 3Milwaukee, WI 53208-3501
Mailing Address2810 W Kilbourn Ave Apt 3Milwaukee, WI 53208-3501 · (414) 309-3213 · Fax (414) 309-3213
Phone(414) 309-3213
Fax(414) 309-3213
Organization SubpartNo
Authorized OfficialDavida CliftonOwner · (414) 309-3213
Enumeration DateOctober 21, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1174490536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedRespite CareTaxonomy 385H00000X
2810 W KILBOURN AVE APT 3, Milwaukee, WI 53208
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY HOUSE CORP
Custodial Care Facility (Adult Care Home)
2810 W KILBOURN AVE APT 3
MILWAUKEE, WI 53208
Milwaukee County (414) 309-3213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Sobriety And Recovery LLC's NPI number?

The NPI number for Legacy Sobriety And Recovery LLC is 1174490536. It was assigned to this organization in the NPPES registry on October 21, 2025.

Where is Legacy Sobriety And Recovery LLC located?

Legacy Sobriety And Recovery LLC is located at 2810 W Kilbourn Ave Apt 3, Milwaukee, WI 53208. The listed phone number is (414) 309-3213.

What is Legacy Sobriety And Recovery LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Legacy Sobriety And Recovery LLC was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.