Organization Active NPI

NSH Plymouth-Southern LLC

Doing business as Southern Horizon Assisted Living

  • Assisted Living Facility
  • Plymouth, WI
National Provider Identifier
1316580277
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2194703Southern Horizon Assisted Living930 E Clifford Street, Plymouth, WI 53073Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.