NPIMap

Organization Active NPI

NSH Green Bay LLC

Doing business as Green Bay Health Services

  • Skilled Nursing Facility
  • Green Bay, WI
National Provider Identifier
1265965974
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH GREEN BAY LLC
Doing business as
Green Bay Health Services
Practice address
1640 Shawano Ave
Green Bay, WI 54303-3214
Phone
(920) 499-5177
Fax
(920) 499-6035
NPI assigned
Apr 10, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1640 Shawano Ave
Green Bay, WI 54303-3214

Mailing address

5150 N Port Washington Rd
Suite 260
Milwaukee, WI 53217-5474
Phone (414) 962-5250

Other names 1

  • Green Bay 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
O20170530002277 WI Part A Provider - Skilled Nursing Facility 9537436282 Practice locations: Green Bay, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265965974. Details of each certification follow.

Skilled nursing facility certification: CCN 525342

Legal name
NSH GREEN BAY LLC
Doing business as
GREEN BAY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1983
Last certification
May 30, 2024
Beds
125
Ownership / control type
Corporation
Multi-facility organization
North Shore
Most recent change of ownership
Apr 4, 2017
Organization structure
LLCProprietary
Incorporated
Mar 3, 2017 in WI
Enrollment address
1640 Shawano Ave
Green Bay, WI 54303-3214
Nursing home name
GREEN BAY HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Green Bay Health ServicesCCN 525342 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12564.2 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
52D0721134Green Bay Health Services1640 Shawano Ave, Green Bay, WI 54303Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Brian Purtell Individual Operational/Managerial Control Jun 1, 2017
Adp of the SNF Jun 1, 2018
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control May 22, 2018
Adp of the SNF Jul 11, 2025
1640 Shawano Avenue LLC Organization, Milwaukee, WI LLC Adp of the SNF Jan 10, 2020
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 Apr 4, 2017 50%
Corporate Director Apr 4, 2017 50%
Operational/Managerial ControlOwner Apr 4, 2017 50%
Adp of the SNF Apr 4, 2017
North Shore Healthcare LLC Organization, Milwaukee, WI LLC, Management services company, Chain home office Operational/Managerial Control Apr 4, 2017 100%
Adp of the SNF Jul 11, 2025
Troy T Baumann Individual 5% Or Greater Indirect Ownership Interest Apr 4, 2017 50%
Corporate DirectorManager Apr 4, 2017 50%
Operational/Managerial ControlOwner Apr 4, 2017 50%
Adp of the SNF Apr 4, 2017
Christina Belongia Individual Operational/Managerial Control Nov 1, 2019
Adp of the SNF Nov 1, 2019
Wipfli LLP Organization, Milwaukee, WI Consulting firm Operational/Managerial Control Feb 1, 2025
Adp of the SNF Jul 11, 2025
Keshni Ramnanan Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
NSH Rehab LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jul 11, 2025
Continuum Therapy Partners LLC Organization, Charlotte, NC LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jul 11, 2025
Colleen Patzer Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
NSHC Wisconsin LLC Organization, Milwaukee, WI LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 4, 2017 100%
Kristin Molski Individual Operational/Managerial Control Feb 22, 2021
Adp of the SNF Feb 22, 2021
Cibc Bank USA Organization, Chicago, IL 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
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 133

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

View all 133

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1265965974",
    "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": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-962-5250",
            "fax_number": "414-962-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033214",
            "telephone_number": "920-499-5177",
            "fax_number": "920-499-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH GREEN BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "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": "Green Bay Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.