Organization
SOUTHPORT HEALTHCARE LLC
Active
Other names
Kenosha Visiting Nurse Association
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (CORPORATE SECRETARY)
(208) 401-1400
Entity
Organization
Contact information
Practice address
600 52ND ST STE 300, KENOSHA, WI 53140-3423
(262) 656-8400
Mailing address
600 52ND ST STE 300, KENOSHA, WI 53140-3423
(262) 656-8400
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up