OrganizationActive
Southport Healthcare LLC
NPI 1669221347 · Community Based Hospice Care Agency · Kenosha, WI
Southport Healthcare LLC is a Community Based Hospice Care Agency organization in Kenosha, WI (NPI 1669221347).
Provider details
- NPI number
- 1669221347
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amber Tueller, Corporate Secretary(208) 401-1400
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
600 52nd St Ste 300
Kenosha, WI 53140-3423
Phone: (262) 656-8400
Street-level locationGet directions
Mailing address
600 52nd St Ste 300
Kenosha, WI 53140-3423
Other names (DBA / former)
- Doing business as
- Kenosha Visiting Nurse Association
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is Southport Healthcare LLC's NPI number?
- Southport Healthcare LLC's National Provider Identifier (NPI) is 1669221347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southport Healthcare LLC?
- Southport Healthcare LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Southport Healthcare LLC located?
- Southport Healthcare LLC's practice location on file with NPPES is 600 52nd St Ste 300, Kenosha, WI 53140-3423.
- What is Southport Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Southport Healthcare LLC is (262) 656-8400.
- Who is the authorized official for Southport Healthcare LLC?
- The authorized official listed on Southport Healthcare LLC's NPPES record is Amber Tueller, Corporate Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southport Healthcare LLC's NPI active?
- Yes — Southport Healthcare LLC's NPI (1669221347) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.