Organization Active NPI

Southern Home Health

  • Case Manager/Care Coordinator
  • Milwaukee, WI
National Provider Identifier
1629651351
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SOUTHERN HOME HEALTH
Practice address
6001 W Center St Ste 100
Milwaukee, WI 53210-2154
Phone
(414) 627-5060
Fax
(414) 988-2318
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Martina Pierson
Title
Owner
Phone
(414) 627-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

6001 W Center St Ste 100
Milwaukee, WI 53210-2154

Mailing address

6001 W Center St Ste 100
Milwaukee, WI 53210-2154
Phone (414) 627-5060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address southernhome97@gmai.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6001 W Center St
Ste 100
Milwaukee, WI 53210
Phone (414) 763-1757

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1629651351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-627-5060",
            "fax_number": "414-988-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-627-5060",
            "fax_number": "414-988-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-627-5060"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "southernhome97@gmai.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6001 W Center St Ste 100",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532102154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.