NSH Hammond LLC
Organization Active NPI Skilled Nursing Facility · Hammond, WI
NPI 1194243618 · NPPES record last updated Sep 5, 2017
Key facts
- NPI
- 1194243618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NSH HAMMOND LLC
- Practice address
- 425 Davis St
Hammond, WI 54015-9615 - Phone
- (715) 796-2218
- NPI assigned
- Sep 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Jeff Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Owners & managing parties with NPI records 1
-
David O. Degear, M.D.
Facilities with the same owner 133
Practitioners 3
-
Sara Lavon Fischer, OTR
-
Brent Alan Nordquist, COTA
-
Tamara Lynn Althoff, MS CCC-SLP
Affiliated clinicians 1
-
David O. Degear, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Hammond Health Services
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1992
- Medicare certification status
- Active
- Certified beds
- 50 · 32.1 residents per day on average
- Chain
- North Shore Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0669474 | Hammond Health Services | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525499
- Legal name
- NSH HAMMOND LLC
- Doing business as
- HAMMOND HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1992
- Last certification
- Feb 5, 2025
- Beds
- 50
- Ownership / control type
- Corporation
- Multi-facility organization
- North Shore
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 29, 2017 in WI
- Enrollment address
- 425 Davis St
Hammond, WI 54015-9615 - Nursing home name
- HAMMOND HEALTH SERVICES
- Affiliated entity
- NORTH SHORE HEALTHCARE
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Brian Purtell |
Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Laurie a Edelman |
Operational/Managerial Control | Oct 1, 2017 | |
| Adp of the SNF | Oct 1, 2017 | ||
| Cliftonlarsonallen LLP |
Operational/Managerial Control | May 22, 2018 | |
| Adp of the SNF | May 12, 2025 | ||
| American Heritage Property Holdings, LLC |
Adp of the SNF | May 1, 2022 | |
| NSHF Wisconsin LLC |
Adp of the SNF | May 12, 2025 | |
| David Mills |
5% Or Greater Indirect Ownership Interest | Jun 29, 2017 | 20% |
| Lauren Greer |
Operational/Managerial Control | Nov 29, 2023 | |
| Adp of the SNF | Nov 29, 2023 | ||
| Jeffrey C Hoehn |
5% Or Greater Indirect Ownership Interest |
Jun 29, 2017 | 40% |
| Corporate Director |
Jun 29, 2017 | ||
| Operational/Managerial Control | Oct 1, 2017 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| North Shore Healthcare LLC |
Operational/Managerial Control | Oct 1, 2017 | 100% |
| Adp of the SNF | May 12, 2025 | ||
| Troy T Baumann |
5% Or Greater Indirect Ownership Interest |
Jun 29, 2017 | 40% |
| Corporate Director |
Jun 29, 2017 | ||
| Operational/Managerial Control | Oct 1, 2017 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| 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 | May 12, 2025 | ||
| NSH Rehab LLC |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Jun 9, 2025 | ||
| Continuum Therapy Partners LLC |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Colleen Patzer |
Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| David O Degear |
Adp of the SNF | Jan 1, 2020 | |
| Cibc Bank USA |
5% Or Greater Security Interest | Dec 31, 2024 | |
| Operational/Managerial Control | Dec 31, 2024 | ||
| NSHF Operations LLC |
5% Or Greater Direct Ownership Interest | Jul 24, 2017 | 100% |
| Darren Gee |
Operational/Managerial Control | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171025001662 | WI | Part a Provider - Skilled Nursing Facility | 9739455452 | Practice locations: Hammond, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
425 Davis St
Hammond, WI 54015-9615
Mailing address
5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Other providers in Hammond, WI
- Krista Demuth LLC
- Kristen Joy Kulig
- Mary Louise Larson
- Karen Patricia Lindstrom
- Brent Alan Nordquist
- NSH Heritage LLC
- Glenn Owens
- Cherri Peterson
- Carrie Powell
- Hailey G Rock
All providers in Hammond, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.