Midwest Legacy Capital LLC
NPI 1972008704 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Black Creek, WI
Midwest Legacy Capital LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Black Creek, WI (NPI 1972008704).
Provider details
- NPI number
- 1972008704
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Dudley, Ceo(920) 915-5202
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- At Home Kidneycare
- Doing business as
- At Home Kidneycare
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Frequently asked questions
- What is Midwest Legacy Capital LLC's NPI number?
- Midwest Legacy Capital LLC's National Provider Identifier (NPI) is 1972008704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Legacy Capital LLC?
- Midwest Legacy Capital LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Midwest Legacy Capital LLC located?
- Midwest Legacy Capital LLC's practice location on file with NPPES is W4233 State Rd 54, Black Creek, WI 54106-8633.
- What is Midwest Legacy Capital LLC's phone number?
- The practice phone number listed in the NPPES registry for Midwest Legacy Capital LLC is (920) 915-5202.
- Who is the authorized official for Midwest Legacy Capital LLC?
- The authorized official listed on Midwest Legacy Capital LLC's NPPES record is Thomas Dudley, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Legacy Capital LLC's NPI active?
- Yes — Midwest Legacy Capital LLC's NPI (1972008704) is active in the NPPES registry as of the last update on 2018-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.