Active NPI
Sally House Corp
- Adult Care Home Facility
- Milwaukee, WI
National Provider Identifier
1710834585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.