Organization Active NPI

Sally House Corp

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1710834585
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SALLY HOUSE CORP
Practice address
2810 W Kilbourn Ave Apt 3
Milwaukee, WI 53208-3501
Phone
(414) 309-3213
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Davida Clifton
Title
Owner
Phone
(414) 309-3213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2810 W Kilbourn Ave Apt 3
Milwaukee, WI 53208-3501

Mailing address

2810 W Kilbourn Ave Apt 3
Milwaukee, WI 53208-3501
Phone (414) 309-3213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1710834585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W KILBOURN AVE APT 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083501",
            "telephone_number": "414-309-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W KILBOURN AVE APT 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083501",
            "telephone_number": "414-309-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY HOUSE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-309-3213"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 11, 2026; 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.