Active NPI
NSH Plymouth-Southern LLC
Doing business as Southern Horizon Assisted Living
- Assisted Living Facility
- Plymouth, WI
National Provider Identifier
1316580277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NSH PLYMOUTH-SOUTHERN LLC
- Doing business as
- Southern Horizon Assisted Living
- Practice address
- 930 E Clifford St
Plymouth, WI 53073-2451 - Phone
- (920) 893-4777
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
930 E Clifford St
Plymouth, WI 53073-2451
Mailing address
5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250
Other names 1
- Southern Horizon Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2194703 | Southern Horizon Assisted Living | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1316580277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N PORT WASHINGTON RD STE 260",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532175470",
"telephone_number": "414-962-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 E CLIFFORD ST",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732451",
"telephone_number": "920-893-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSH PLYMOUTH-SOUTHERN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "HOEHN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "414-962-5250"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Horizon Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.