Active NPI
NSH Golden Age LLC
- Skilled Nursing Facility
- Tomahawk, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NSH GOLDEN AGE LLC
- Practice address
- 720 E King Rd
Tomahawk, WI 54487-1513 - Phone
- (715) 453-2164
- Fax
- (715) 453-1066
- NPI assigned
- Nov 9, 2016
- Organization subpart
- Yes
- Parent organization
- NSHG WISCONSIN LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Charles Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
720 E King Rd
Tomahawk, WI 54487-1513
Mailing address
5150 N Port Washington Rd
Suite 260
Glendale, WI 53217-5474
Phone (414) 962-5250
Other names 1
- Tomahawk Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170313001369 | WI | Part A Provider - Skilled Nursing Facility | 9234413220 | Practice locations: Tomahawk, WI |
Skilled nursing facility certification: CCN 525334
- Legal name
- NSH GOLDEN AGE LLC
- Doing business as
- TOMAHAWK HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1983
- Last certification
- Jan 15, 2025
- Beds
- 50
- Ownership / control type
- Corporation
- Multi-facility organization
- Northshore
- Organization structure
- LLC
- Incorporated
- Sep 26, 2016 in WI
- Enrollment address
- 720 E King Rd
Tomahawk, WI 54487-1513 - Nursing home name
- TOMAHAWK HEALTH SERVICES
- Affiliated entity
- NORTH SHORE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tomahawk Health Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1983
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- North Shore Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| GPH Tomahawk Golden Age LLC | Adp of the SNF | Dec 1, 2016 | |
| Brian Purtell | Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Cliftonlarsonallen LLP | Operational/Managerial Control | May 22, 2018 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Lauren Greer | Operational/Managerial Control | Nov 29, 2023 | |
| Adp of the SNF | Nov 29, 2023 | ||
| Jeffrey C Hoehn | 5% Or Greater Indirect Ownership Interest | Dec 1, 2016 | 50% |
| Corporate Officer | Dec 1, 2016 | 50% | |
| Operational/Managerial Control | Dec 1, 2016 | 50% | |
| Adp of the SNF | Dec 1, 2016 | ||
| North Shore Healthcare LLC | Operational/Managerial Control | Dec 1, 2016 | 100% |
| Adp of the SNF | Apr 14, 2025 | ||
| Troy T Baumann | 5% Or Greater Indirect Ownership Interest | Dec 1, 2016 | 50% |
| Corporate Officer | Dec 1, 2016 | 50% | |
| Operational/Managerial Control | Dec 1, 2016 | 50% | |
| Adp of the SNF | Dec 1, 2016 | ||
| Christina Belongia | Operational/Managerial Control | Nov 1, 2019 | |
| Adp of the SNF | Nov 1, 2019 | ||
| Wipfli LLP | Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Apr 14, 2025 | ||
| NSH Rehab LLC | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jun 13, 2025 | ||
| Harry Hostetler | Operational/Managerial Control | Sep 1, 2023 | |
| Adp of the SNF | Sep 1, 2023 | ||
| Continuum Therapy Partners LLC | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Colleen Patzer | Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| NSHC Wisconsin LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2016 | |
| Adp of the SNF | May 14, 2025 | ||
| Jessica Heikkinen | Operational/Managerial Control | Aug 17, 2021 | |
| Adp of the SNF | Aug 17, 2021 | ||
| Cibc Bank USA | 5% Or Greater Security Interest | Dec 31, 2024 | 100% |
| Operational/Managerial Control | Dec 31, 2024 | ||
| Darren Gee | Operational/Managerial Control | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1093775090
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 133
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Cliftonlarsonallen LLP, Wipfli LLP
-
- Skilled Nursing Facility
- Altoona, WI
- NPI 1760900559
Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, North Shore Healthcare LLC, NSH Rehab LLC, Wipfli LLP
-
- Skilled Nursing Facility
- Colby, WI
- NPI 1568272763
Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, Wipfli LLP
-
- Skilled Nursing Facility
- Cornell, WI
- NPI 1417475245
Continuum Therapy Partners LLC, North Shore Healthcare LLC, NSH Rehab LLC, Wipfli LLP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482969600000",
"number": "1003358979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N PORT WASHINGTON RD",
"address_2": "SUITE 260",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532175474",
"telephone_number": "414-962-5250",
"fax_number": "414-962-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E KING RD",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544871513",
"telephone_number": "715-453-2164",
"fax_number": "715-453-1066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSH GOLDEN AGE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NSHG WISCONSIN LLC",
"enumeration_date": "2016-11-09",
"last_updated": "2016-12-29",
"status": "A",
"authorized_official_last_name": "HOEHN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "414-962-5250"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tomahawk Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.