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AT HOME KIDNEYCARE
NPI 1972008704
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Black Creek, WI

Active since March 26, 2018
W4233 STATE RD 54, BLACK CREEK, WI 54106(920) 915-5202 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About At Home Kidneycare NPPES

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

AT HOME KIDNEYCARE (NPI 1972008704) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Black Creek, Wisconsin and active in the NPI registry since March 2018. The organization lists Thomas A Dudley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972008704
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMIDWEST LEGACY CAPITAL LLC
Location AddressW4233 STATE RD 54Black Creek, WI 54106-8633
Mailing AddressW4233 State Rd 54Black Creek, WI 54106-8633
Phone(920) 915-5202
Organization SubpartNo
Authorized OfficialThomas A DudleyCeo · (920) 915-5202
Enumeration DateMarch 26, 2018
✔ NPI 1972008704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
W4233 STATE RD 54, Black Creek, WI 54106
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Other Names 1

Doing Business AsAt Home Kidneycare

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 Midwest Legacy Capital LLC's NPI number?

The NPI number for Midwest Legacy Capital LLC is 1972008704. It was assigned to this organization in the NPPES registry on March 26, 2018. The provider is doing business as At Home Kidneycare.

Where is Midwest Legacy Capital LLC located?

Midwest Legacy Capital LLC is located at W4233 State Rd 54, Black Creek, WI 54106. The listed phone number is (920) 915-5202.

What is Midwest Legacy Capital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Midwest Legacy Capital LLC was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.