NSH Little Chute LLC
Organization Active NPI Skilled Nursing Facility · Little Chute, WI
NPI 1306489232 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1306489232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NSH LITTLE CHUTE LLC
- Practice address
- 1201 Garfield Ave
Little Chute, WI 54140-2048 - Phone
- (920) 788-5806
- NPI assigned
- Oct 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Owners & managing parties with NPI records 1
-
Keshni Lata Ramnanan, M.D.
Facilities with the same owner 134
Practitioners 3
-
Amanda Banker, PTA
Medicare Care Compare: Nursing home
- Listed as
- Little Chute Health Services
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 6, 1995
- Medicare certification status
- Active
- Certified beds
- 50 · 30.8 residents per day on average
- Chain
- North Shore Healthcare
- Penalties (3 years)
- 2 · fines totaling $37,992
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0394476 | Little Chute Health Services | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525579
- Legal name
- NSH LITTLE CHUTE LLC
- Doing business as
- LITTLE CHUTE HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 6, 1995
- Last certification
- Apr 1, 2025
- Beds
- 50
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- North Shore Health
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 25, 2019 in WI
- Enrollment address
- 1201 Garfield Ave
Little Chute, WI 54140-2048 - Nursing home name
- LITTLE CHUTE HEALTH SERVICES
- Affiliated entity
- NORTH SHORE HEALTHCARE
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| NSHR Operations LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 100% |
| Brian Purtell |
Operational/Managerial Control | Dec 1, 2019 | |
| Adp of the SNF | Dec 1, 2019 | ||
| Cliftonlarsonallen LLP |
Operational/Managerial Control | Dec 1, 2019 | |
| Adp of the SNF | Jun 6, 2025 | ||
| David Mills |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 18% |
| Lauren Greer |
Operational/Managerial Control | Nov 29, 2023 | |
| Adp of the SNF | Nov 29, 2023 | ||
| Jeffrey C Hoehn |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 36% |
| Corporate Director | Oct 1, 2019 | 36% | |
| Operational/Managerial Control |
Dec 1, 2019 | 36% | |
| Adp of the SNF | Dec 1, 2019 | ||
| North Shore Healthcare LLC |
Operational/Managerial Control | Dec 1, 2019 | 100% |
| Adp of the SNF | Jun 6, 2025 | ||
| Troy T Baumann |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 36% |
| Corporate Director | Oct 1, 2019 | 36% | |
| Operational/Managerial Control |
Dec 1, 2019 | ||
| Adp of the SNF | Dec 1, 2019 | ||
| The Lane Morrell Bowen Trust |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 10% |
| Adp of the SNF | Dec 1, 2019 | ||
| Christina Belongia |
Operational/Managerial Control | Dec 1, 2019 | |
| Adp of the SNF | Dec 1, 2019 | ||
| Wipfli LLP |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Jun 6, 2025 | ||
| Keshni Ramnanan |
Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | Feb 1, 2023 | ||
| NSH Rehab LLC |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Jun 6, 2025 | ||
| NSH 1201 Garfield Avenue LLC |
Adp of the SNF | Dec 1, 2019 | |
| Continuum Therapy Partners LLC |
Operational/Managerial Control | Dec 1, 2019 | |
| Adp of the SNF | Jun 6, 2025 | ||
| Colleen Patzer |
Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2002 | ||
| Marissa Popp |
Operational/Managerial Control | Mar 17, 2025 | |
| Adp of the SNF | Mar 17, 2025 | ||
| Arrowhead 123 LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 10% |
| Adp of the SNF | Dec 1, 2019 | ||
| Cibc Bank USA |
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 |
Operational/Managerial Control | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191219002652 | WI | Part a Provider - Skilled Nursing Facility | 6800220146 | Practice locations: Little Chute, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1201 Garfield Ave
Little Chute, WI 54140-2048
Mailing address
5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250
Other names
- Little Chute Health Services
Other providers in Little Chute, WI
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- Gary A Miller
- Mindful Matters LLC
- Nicholas L Smith Pharmacy LLC
- Nicholas L Smith Pharmacy LLC
- Nuwave Counseling LLC
- Optometric Services, S.C.
- Parkside Care Center LLC
- Jessica L Peterson
- Dann Norbert Pynenberg
All providers in Little Chute, 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 Oct 23, 2019. 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.