Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southport Healthcare LLC

Organization Community Based Hospice Care Agency · NPI 1669221347

Southport Healthcare LLC is a Community Based Hospice Care Agency in Kenosha, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

600 52nd St Ste 300
Kenosha, WI 53140-3423
Phone: (262) 656-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X

Record details

NPI number1669221347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Tueller — Corporate Secretary · (208) 401-1400
Other names Kenosha Visiting Nurse Association
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address600 52nd St Ste 300, Kenosha, WI 53140-3423