SOUTHPORT HEALTHCARE LLC
NPI 1669221347
Hospice Care, Community Based in Kenosha, WI
About Southport Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHPORT HEALTHCARE LLC (NPI 1669221347), doing business as Kenosha Visiting Nurse Association, is a healthcare organization registered as a hospice care, community based in Kenosha, Wisconsin and active in the NPI registry since May 2024. The organization lists Amber L Tueller, Corporate Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53140
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 Southport Healthcare LLC's NPI number?
The NPI number for Southport Healthcare LLC is 1669221347. It was assigned to this organization in the NPPES registry on May 15, 2024. The provider is doing business as Kenosha Visiting Nurse Association.
Where is Southport Healthcare LLC located?
Southport Healthcare LLC is located at 600 52nd St Ste 300, Kenosha, WI 53140. The listed phone number is (262) 656-8400.
What is Southport Healthcare LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
When was this NPI record last updated?
The NPPES record for Southport Healthcare LLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Southport Healthcare Llc · NPI 1669221347
Hospice Care, Community Based organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1669221347 (Entity type: Organization)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Also known as:** Kenosha Visiting Nurse Association (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amber Tueller, CORPORATE SECRETARY
## Practice location
- **Address:** 600 52ND ST STE 300, Kenosha, WI 53140-3423
- **Phone:** (262) 656-8400
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669221347) · Data from the CMS NPPES public registry.