NPIMap

Organization Active NPI

NSH Wausau LLC

  • Skilled Nursing Facility
  • Wausau, WI
National Provider Identifier
1194243998
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH WAUSAU LLC
Practice address
3107 Westhill Dr
Wausau, WI 54401-3774
Phone
(715) 842-0575
NPI assigned
Sep 1, 2017
Last updated
Sep 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Authorized official

Name
Jeff Hoehn
Title
Managing Member
Phone
(414) 962-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3107 Westhill Dr
Wausau, WI 54401-3774

Mailing address

5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025003654 WI Part A Provider - Skilled Nursing Facility 7012283674 Practice locations: Wausau, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194243998. Details of each certification follow.

Skilled nursing facility certification: CCN 525369

Legal name
NSH WAUSAU LLC
Doing business as
WAUSAU HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 14, 1984
Last certification
Aug 15, 2024
Beds
68
Ownership / control type
Limited Liability Corporation
Multi-facility organization
North Shore Health
Organization structure
LLCProprietary
Incorporated
Jun 29, 2017 in WI
Enrollment address
3107 Westhill Dr
Wausau, WI 54401-3774
Nursing home name
WAUSAU MANOR HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wausau Manor Health ServicesCCN 525369 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 14, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6853.1 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Mills Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 20%
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 40%
Corporate DirectorCo-Manager, of NSH Wausau LLC Al Jun 29, 2017 100%
North Shore Healthcare LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Oct 1, 2017 100%
Troy T Baumann Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 40%
Corporate DirectorCo-Manger, of NSH Wausau LLC Jun 29, 2017 100%
W-2 Managing Employee Jun 29, 2017
NSHF Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2017 100%

Facilities with the same owner 54

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 54

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1194243998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD STE 260",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 WESTHILL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013774",
            "telephone_number": "715-842-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH WAUSAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-962-5250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.