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

Southport Healthcare LLC

Organization Community Health Clinic/Center · NPI 1740906874

Southport Healthcare LLC is a Community Health Clinic/Center in Kenosha, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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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 Health Clinic/Center (primary) Taxonomy 261QC1500X

Record details

NPI number1740906874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Tueller — Secretary · (208) 207-2726
Other names Kenosha Visiting Nurse Association
NPI enumeratedOctober 19, 2022
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address600 52nd St Ste 300, Kenosha, WI 53140-3423

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