Southport Healthcare Llc

LBN: Southport Healthcare Llc
Southport Healthcare Llc is an health care organization with primary practice located at 600 52Nd St Ste 300 , Kenosha WI 53140-3423. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southport Healthcare Llc can be contacted via phone (262) 656-8400, or through Tueller, Amber L via phone (208) 401-1400.

Contact Information

Primary practice address
600 52Nd St Ste 300 Kenosha WI 53140-3423
Phone: (262) 656-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tueller, Amber L
Phone: (208) 401-1400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1669221347
LBN Legal business name Southport Healthcare Llc
DBA Doing business as
Authorized official Tueller, Amber L
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2024
Last updated May 15th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers