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Southport Healthcare Llc
Home Health Agency in Kenosha, Wisconsin
NPI 1285352500

Southport Healthcare Llc is a Home Health Agency based in Kenosha, WI. Southport Healthcare Llc practices in Kenosha, WI. The NPI Number for Southport Healthcare Llc is 1285352500 and holds a License No. (Wisconsin).

The current practice location address for Southport Healthcare Llc is 600 52Nd St Ste 300, Kenosha, WI and can be reached out via phone at 208-401-1400.

Location: 600 52Nd St Ste 300, Kenosha, WI, 53140-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285352500
Provider Name
Southport Healthcare Llc
Credential
Provider Entity Type
Organization
Address
600 52Nd St Ste 300, Kenosha, WI, 53140-3423
Phone Number
208-401-1400
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
600 52Nd St Ste 300
City
Kenosha
State
Wisconsin
Zip
53140-3423
Phone Number
208-401-1400
Fax Number
person
Provider Business Mailing Address Details
Address
600 52Nd St Ste 300
City
Kenosha
State
Wisconsin
Zip
53140-3423
Phone Number
208-401-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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