NPIMap

Organization Active NPI

NSH Menominee LLC

Doing business as Menominee Health Services

  • Skilled Nursing Facility
  • Menominee, MI
National Provider Identifier
1275176133
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 MENOMINEE LLC
Doing business as
Menominee Health Services
Practice address
501 2ND St
Menominee, MI 49858-3203
Phone
(906) 863-9941
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

501 2ND St
Menominee, MI 49858-3203

Mailing address

5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250

Other names 1

  • Menominee Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103000726 MI Part A Provider - Skilled Nursing Facility 9739513524 Practice locations: Menominee, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275176133. Details of each certification follow.

Skilled nursing facility certification: CCN 235558

Legal name
NSH MENOMINEE LLC
Doing business as
MENOMINEE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1995
Last certification
Mar 11, 2025
Beds
39
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 25, 2019 in WI
Enrollment address
501 2ND St
Menominee, MI 49858-3203
Nursing home name
MENOMINEE HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Menominee Health ServicesCCN 235558 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3935.1 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
23D0651135Menominee Health Services501 Second Street, Menominee, MI 49858Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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 Oct 10, 2019
Adp of the SNF Oct 10, 2019
NSH 501 Second Street LLC Organization, Milwaukee, WI LLC Adp of the SNF Dec 20, 2019
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control Oct 10, 2019
Adp of the SNF Jul 15, 2025
David Mills Individual 5% Or Greater Direct Ownership InterestMember Oct 10, 2019 18%
Lauren Greer Individual Operational/Managerial Control Nov 29, 2023
Adp of the SNF Nov 29, 2023
Jeffrey C Hoehn Individual 5% Or Greater Direct Ownership InterestManaging Member Oct 10, 2019 36%
Corporate DirectorManaging Member Oct 10, 2019 36%
Operational/Managerial ControlCo-Manager Oct 10, 2019 36%
North Shore Healthcare LLC Organization, Milwaukee, WI LLC, Management services company, Chain home office Operational/Managerial Control Oct 10, 2019
Adp of the SNF Jul 15, 2025
Troy T Baumann Individual 5% Or Greater Direct Ownership InterestManaging Member Oct 10, 2019 36%
Corporate DirectorManaging Member Oct 10, 2019 36%
Operational/Managerial ControlCo-Manager Oct 10, 2019 36%
The Lane Morrell Bowen Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Oct 10, 2019 10%
Vernette M Carlson Individual Operational/Managerial Control Oct 6, 2024
Adp of the SNF Oct 6, 2024
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 15, 2025
Continuum Therapy Partners LLC Organization, Charlotte, NC LLC Operational/Managerial Control Feb 1, 2025
Adp of the SNF Dec 22, 2025
Colleen Patzer Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
Kelly Walerski Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Arrowhead 123 LLC Organization, Sandy, UT LLC 5% Or Greater Direct Ownership Interest Oct 10, 2019 10%
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
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 1

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": "1275176133",
    "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",
            "telephone_number": "414-962-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 2ND ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583203",
            "telephone_number": "906-863-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH MENOMINEE 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": "Menominee Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menominee, MI

Sources for this page

Verify at the official NPI Registry.