NPIMap

Organization Active NPI

NSH Lake Mills LLC

  • Skilled Nursing Facility
  • Lake Mills, WI
National Provider Identifier
1649798448
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH LAKE MILLS LLC
Practice address
901 Mulberry St
Lake Mills, WI 53551-1335
Phone
(920) 648-8433
NPI assigned
Sep 1, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeff Hoehn
Title
Managing Member
Phone
(414) 962-5250

Facilities with the same owner 54

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

View all 54

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Mills Health ServicesCCN 525314
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 14, 1981
Medicare certification status
Active (Provider of Services file)
Certified beds
5028.3 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain
Penalties (3 years)
1Fines totaling $120,900

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
52D0856917Lake Mills Health Services901 Mulberry St, Lake Mills, WI 53551Certificate of waiverAug 31, 2026

Medicare participation

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

Skilled nursing facility certification: CCN 525314

Medicare enrollment files
Legal name
NSH LAKE MILLS LLC
Doing business as
LAKE MILLS HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 1981
Last certification
Mar 26, 2025
Beds
50
Ownership / control type
Corporation
Multi-facility organization
NORTH SHORE HEALTH
Most recent change of ownership
Oct 1, 2017
Organization structure
LLCProprietary
Incorporated
Jun 29, 2017 in WI
Enrollment address
901 Mulberry St
Lake Mills, WI 53551-1335
Nursing home name
LAKE MILLS HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

All disclosed owners & managing parties 5

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Mills Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jun 29, 2017 20%
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership InterestCo-Manager Jun 29, 2017 40%
Corporate DirectorCo-Manager Jun 29, 2017 100%
North Shore Healthcare LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Oct 1, 2017 100%
Troy T Baumann Individual 5% Or Greater Indirect Ownership InterestCo-Manager Jun 29, 2017 40%
Corporate DirectorCo-Manager Jun 29, 2017 100%
W-2 Managing EmployeeCo-Manager Jun 29, 2017
NSHF Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2017 100%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20171025002456 WI Part a Provider - Skilled Nursing Facility 3971879503 Practice locations: Lake Mills, WI

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

901 Mulberry St
Lake Mills, WI 53551-1335

Mailing address

5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2017.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1649798448",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MULBERRY ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511335",
            "telephone_number": "920-648-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH LAKE MILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFF",
        "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": []
}

Other providers in Lake Mills, WI

Sources for this page

Verify at the official NPI Registry.