Southport Healthcare Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHPORT HEALTHCARE INC.

Practice address

1001 Bannock St Unit 227
Denver, CO 80204-4145

Phone

(720) 902-7069

NPI assigned

Oct 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth Odwyer, RN

Title

Owner

Phone

(303) 503-3616

Specialties & licenses 1

Addresses

Other names 2

• Amada Senior Care Denver West Doing business as
• Amada Senior Care Denver West CO Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1063233229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BANNOCK ST UNIT 227",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044145",
            "telephone_number": "720-902-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BANNOCK ST UNIT 227",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044145",
            "telephone_number": "720-902-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "ODWYER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-503-3616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Denver West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amada Senior Care Denver West CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.