Organization Active NPI

Saleahs House LLC

  • Adult Care Home Facility
  • Racine, WI
National Provider Identifier
1255195590
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SALEAHS HOUSE LLC
Practice address
1138 Grand Ave
Racine, WI 53403-1837
Phone
(414) 949-2097
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Alexia Gates
Title
Ceo
Phone
(414) 949-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1138 Grand Ave
Racine, WI 53403-1837

Mailing address

1138 Grand Ave
Racine, WI 53403-1837
Phone (414) 949-2097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1255195590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 GRAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031837",
            "telephone_number": "414-949-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 GRAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031837",
            "telephone_number": "414-949-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEAHS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "ALEXIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-949-2097"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.