NSH Elroy LLC
Organization Active NPI Skilled Nursing Facility · Elroy, WI
NPI 1467950329 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1467950329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NSH ELROY LLC
- Practice address
- 307 Royall Ave
Elroy, WI 53929-1044 - Phone
- (608) 462-8494
- NPI assigned
- Jan 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Jeff Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Owners & managing parties with NPI records 1
Facilities with the same owner 133
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Elroy Health Services
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1990
- Medicare certification status
- Active
- Certified beds
- 80 · 64.2 residents per day on average
- Chain
- North Shore Healthcare
- Penalties (3 years)
- 1 · fines totaling $33,320
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0693507 | Elroy Health Services | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525452
- Legal name
- NSH ELROY LLC
- Doing business as
- ELROY HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1990
- Last certification
- Mar 3, 2025
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- North Shore Health
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 26, 2017 in WI
- Enrollment address
- 307 Royall Ave
Elroy, WI 53929-1044 - Nursing home name
- ELROY HEALTH SERVICES
- Affiliated entity
- NORTH SHORE HEALTHCARE
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| 307 Royall Avenue LLC |
Adp of the SNF | Jan 31, 2018 | |
| Brian Purtell |
Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Cliftonlarsonallen LLP |
Operational/Managerial Control | May 22, 2018 | |
| Adp of the SNF | Jul 8, 2025 | ||
| David Mills |
5% Or Greater Direct Ownership Interest | Dec 19, 2017 | 20% |
| Lauren Greer |
Operational/Managerial Control | Nov 29, 2023 | |
| Adp of the SNF | Nov 29, 2023 | ||
| Jeffrey C Hoehn |
5% Or Greater Direct Ownership Interest |
Dec 19, 2017 | 40% |
| Corporate Director |
Dec 19, 2017 | 40% | |
| Operational/Managerial Control | Dec 19, 2017 | ||
| Adp of the SNF | Dec 19, 2017 | ||
| North Shore Healthcare LLC |
Operational/Managerial Control | Feb 1, 2018 | 100% |
| Adp of the SNF | Jul 8, 2025 | ||
| Troy T Baumann |
5% Or Greater Direct Ownership Interest |
Dec 19, 2017 | 40% |
| Corporate Director |
Dec 19, 2017 | 40% | |
| Operational/Managerial Control | Dec 19, 2017 | ||
| Adp of the SNF | Dec 19, 2017 | ||
| Christina Belongia |
Operational/Managerial Control | Nov 1, 2019 | |
| Adp of the SNF | Nov 1, 2019 | ||
| Wipfli LLP |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Jul 8, 2025 | ||
| NSH Rehab LLC |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jul 8, 2025 | ||
| Colin Hirst |
Operational/Managerial Control | May 31, 2021 | |
| Adp of the SNF | May 31, 2021 | ||
| Continuum Therapy Partners LLC |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jul 8, 2025 | ||
| Colleen Patzer |
Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| 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 | ||
| Katherine Anne Orourke |
Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | Feb 1, 2023 | ||
| 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 |
|---|---|---|---|---|
| O20180226000049 | WI | Part a Provider - Skilled Nursing Facility | 7012278500 | Practice locations: Elroy, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
307 Royall Ave
Elroy, WI 53929-1044
Mailing address
5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250
Other names
- Elroy Health Services
Other providers in Elroy, WI
- Kimberly Leis
- MBMC Mauston Phillips, LLC
- Mile Bluff Clinic, LLP
- Mile Bluff Medical Center Inc
- Moiya Lyn Murphy
- Royall School District
- Jeff Salsieder
- Suzanne M Sjogren
- Anna Camille Smart
- St. Joseph'S Health Services, Inc.
All providers in Elroy, 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 Jan 25, 2018. 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.