Active NPI
Minot Health and Rehab LLC
- Skilled Nursing Facility
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1041
- Legal business name
- MINOT HEALTH AND REHAB LLC
- Practice address
- 600 Main St S
Minot, ND 58701-4499 - Phone
- (701) 852-1255
- Fax
- (701) 852-1134
- NPI assigned
- Sep 24, 2015
- 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
- Jeffrey Charles Hoehn
- Title
- Member Manager
- Phone
- (636) 698-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1041 | ND | Primary |
Addresses
Primary practice location
600 Main St S
Minot, ND 58701-4499
Mailing address
5536 N Kent Ave
Whitefish Bay, WI 53217-5155
Phone (636) 698-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160310000278 | MD | Part A Provider - Skilled Nursing Facility | 8729384268 | Practice locations: Minot, ND |
Skilled nursing facility certification: CCN 355031
- Legal name
- MINOT HEALTH AND REHAB LLC
- Doing business as
- MINOT HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1971
- Last certification
- May 16, 2024
- Beds
- 76
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- North Shore Health LLC
- Organization structure
- LLC
- Incorporated
- Sep 21, 2015 in ND
- Enrollment address
- 600 Main Street South
Minot, ND 58701-4499 - Nursing home name
- MINOT HEALTH AND REHAB, LLC
- Affiliated entity
- NORTH SHORE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Minot Health and Rehab, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1971
- Medicare certification status
- Active
- Certified beds
- 76
- Chain
- North Shore Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0678781 | Minot Health and Rehab, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Jeffrey C Hoehn | 5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 45% |
| 5% Or Greater Indirect Ownership Interest | Nov 13, 2015 | ||
| 5% Or Greater Security Interest | Nov 13, 2015 | ||
| Corporate Officer | Nov 13, 2015 | 45% | |
| Operational/Managerial Control | Nov 13, 2015 | 45% | |
| Troy T Baumann | 5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 45% |
| 5% Or Greater Indirect Ownership Interest | Nov 13, 2015 | ||
| 5% Or Greater Security Interest | Nov 13, 2015 | ||
| Corporate Officer | Nov 13, 2015 | 45% | |
| Operational/Managerial Control | Nov 13, 2015 | 45% | |
| Paul H Peshek | 5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 10% |
| 5% Or Greater Indirect Ownership Interest | Nov 13, 2015 | ||
| 5% Or Greater Security Interest | Nov 13, 2015 | ||
| Corporate Director | Nov 13, 2015 | 10% | |
| Operational/Managerial Control | Nov 13, 2015 | 10% | |
| Minot Health and Rehab LLC | 5% Or Greater Direct Ownership Interest | Nov 13, 2015 | 100% |
| 5% Or Greater Indirect Ownership Interest | Nov 13, 2015 | ||
| 5% Or Greater Security Interest | Jan 13, 2015 | ||
| Operational/Managerial Control | Jan 13, 2015 | 100% | |
| Other | Jan 13, 2015 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Minot, ND
- NPI 1548548498
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1144699745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5536 N KENT AVE",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175155",
"telephone_number": "636-698-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAIN ST S",
"city": "MINOT",
"state": "ND",
"postal_code": "587014499",
"telephone_number": "701-852-1255",
"fax_number": "701-852-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINOT HEALTH AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "HOEHN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "636-698-8600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ND",
"license": "1041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.