NSH Shawano-Maple LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NSH SHAWANO-MAPLE LLC

Doing business as

Maple Lane Health Services

Practice address

N4231 State Highway 22
Shawano, WI 54166-6130

Phone

(715) 526-3158

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Addresses

Other names 1

• Maple Lane Health Services Doing business as

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": "1619510567",
    "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": "N4231 STATE HIGHWAY 22",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541666130",
            "telephone_number": "715-526-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH SHAWANO-MAPLE 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Lane Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beau Nguyen, PHARMD
• NHH Vision Group, S.C.
• Gregory Nordwig
• NSH Shawano-Birch LLC
• NSH Shawano-Evergreen LLC
• Thomas L Olmsted, CRNA
• Andrea Olsen, OTR
• Jill Olsen, APNP
• Orthopedic & Spine Therapy of Clintonville, SC
• Orthopedic & Spine Therapy of Clintonville, SC

• Skilled Nursing Facility in Shawano, WI
• Providers in Shawano, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.