Active NPI
Southern Hope Homes LLC
- Adult Care Home Facility
- Kenosha, WI
National Provider Identifier
1619783370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SOUTHERN HOPE HOMES LLC
- Practice address
- 3511 59TH St
Kenosha, WI 53144-4133 - Phone
- (262) 577-5155
- NPI assigned
- Dec 7, 2024
- 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
- Mr. Norris Lynn Jones
- Title
- Owner
- Phone
- (262) 960-2742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
3511 59TH St
Kenosha, WI 53144-4133
Mailing address
PO Box 855
Kenosha, WI 53141-0855
Phone (262) 960-2642
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733529600000",
"number": "1619783370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 855",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531410855",
"telephone_number": "262-960-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 59TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531444133",
"telephone_number": "262-577-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN HOPE HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "NORRIS",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-960-2742",
"authorized_official_name_prefix": "Mr."
},
"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 Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.