Organization Active NPI

NSH Kewaunee LLC

Doing business as Kewaunee Health Services

  • Skilled Nursing Facility
  • Kewaunee, WI
National Provider Identifier
1255974176
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH KEWAUNEE LLC
Doing business as
Kewaunee Health Services
Practice address
1308 Lincoln St
Kewaunee, WI 54216-1606
Phone
(920) 388-3955
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1308 Lincoln St
Kewaunee, WI 54216-1606

Mailing address

5150 N Port Washington Rd
Milwaukee, WI 53217-5474
Phone (414) 962-5250

Other names 1

  • Kewaunee Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219000806 WI Part A Provider - Skilled Nursing Facility 4082048384 Practice locations: Kewaunee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255974176. Details of each certification follow.

Skilled nursing facility certification: CCN 525357

Legal name
NSH KEWAUNEE LLC
Doing business as
KEWAUNEE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1984
Last certification
Apr 8, 2025
Beds
50
Ownership / control type
Corporation
Multi-facility organization
Northshore Health
Organization structure
LLCProprietary
Incorporated
Sep 25, 2019 in WI
Enrollment address
1308 Lincoln St
Kewaunee, WI 54216-1606
Nursing home name
KEWAUNEE HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kewaunee Health ServicesCCN 525357 · All quality measures
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
Apr 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5023.2 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0394653Kewaunee Health Services1308 Lincoln St, Kewaunee, WI 54216Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
NSHR Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
NSH 1308 Lincoln Street LLC Organization, Milwaukee, WI LLC Adp of the SNF Dec 1, 2019
Brian Purtell Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Cassandra Dufresne Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control Dec 1, 2019
Adp of the SNF Jun 6, 2025
David Mills Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 18%
Blake B Lemke Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Lauren Greer Individual Operational/Managerial Control Nov 29, 2023
Adp of the SNF Nov 29, 2023
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 36%
Corporate Director Oct 1, 2019 36%
Operational/Managerial ControlCo-Manager of NSHR Operations, L Dec 1, 2019 36%
Adp of the SNF Dec 1, 2019
North Shore Healthcare LLC Organization, Milwaukee, WI LLC, Management services company, Chain home office Operational/Managerial Control Dec 1, 2019 100%
Adp of the SNF Jun 6, 2025
Troy T Baumann Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 36%
Corporate Director Oct 1, 2019 36%
Operational/Managerial ControlCo-Manager of NSHR Operations, L Dec 1, 2019 36%
Adp of the SNF Dec 1, 2019
The Lane Morrell Bowen Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Oct 1, 2019 10%
Adp of the SNF Dec 1, 2019
Christina Belongia Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Wipfli LLP Organization, Milwaukee, WI Consulting firm Operational/Managerial Control Feb 1, 2025
Adp of the SNF Jun 6, 2025
NSH Rehab LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jun 6, 2025
Continuum Therapy Partners LLC Organization, Charlotte, NC LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jun 6, 2025
Colleen Patzer Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
Arrowhead 123 LLC Organization, Sandy, UT LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 10%
Adp of the SNF Dec 1, 2019
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 31, 2024 100%
5% Or Greater Security Interest Dec 31, 2024 100%
Operational/Managerial Control Dec 31, 2024
Lane Morrell Bowen Individual 5% Or Greater Indirect Ownership Interest Apr 18, 2019 10%
Darren Gee Individual 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.

Facilities with the same owner 134

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

View all 134

Practitioners & affiliated clinicians

Practitioners 2

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1255974176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-962-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161606",
            "telephone_number": "920-388-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH KEWAUNEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFFREY",
        "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": [
        {
            "organization_name": "Kewaunee Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kewaunee, WI

Sources for this page

Verify at the official NPI Registry.