NPIMap

Organization Active NPI

NSH Superior LLC

  • Skilled Nursing Facility
  • Superior, WI
National Provider Identifier
1669914537
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH SUPERIOR LLC
Practice address
1612 N 37TH St
Superior, WI 54880-5404
Phone
(715) 392-5144
Fax
(715) 392-1406
NPI assigned
Nov 9, 2016
Organization subpart
Yes
Parent organization
NSHG WISCONSIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Charles Hoehn
Title
Managing Member
Phone
(414) 962-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1612 N 37TH St
Superior, WI 54880-5404

Mailing address

5150 N Port Washington Rd
Suite 260
Glendale, WI 53217-5474
Phone (414) 962-5250

Other names 1

  • Twin Ports Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302000984 WI Part A Provider - Skilled Nursing Facility 4385928753 Practice locations: Superior, WI

Skilled nursing facility certification: CCN 525370

Legal name
NSH SUPERIOR LLC
Doing business as
TWIN PORTS HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 14, 1984
Last certification
Sep 25, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
North Shore Health
Organization structure
LLCProprietary
Incorporated
Sep 23, 2016 in WI
Enrollment address
1612 N 37TH St
Superior, WI 54880-5404
Nursing home name
TWIN PORTS HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Twin Ports Health ServicesCCN 525370
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 14, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9080.0 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
52D0397177Twin Ports Health Services1612 N 37TH St, Superior, WI 54880Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1612 N 37th St
Superior, WI 54880
Phone (715) 392-5144

Ownership & related parties

All disclosed owners & managing parties 17

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 Jun 1, 2018
Adp of the SNF Jun 1, 2018
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control May 22, 2018
Adp of the SNF Apr 14, 2025
Jason Wiederin Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Lauren Greer Individual Operational/Managerial Control Nov 29, 2023
Adp of the SNF Nov 29, 2023
Jeffrey C Hoehn Individual Corporate OfficerManager Dec 1, 2016 50%
Operational/Managerial ControlOwner Dec 1, 2016 50%
North Shore Healthcare LLC Organization, Milwaukee, WI LLC, Chain home office Operational/Managerial Control Dec 1, 2016 100%
Adp of the SNF Apr 14, 2025
Troy T Baumann Individual Corporate OfficerManager Dec 1, 2016 50%
Operational/Managerial ControlOwner Dec 1, 2016 50%
Christina Belongia Individual Operational/Managerial Control Nov 1, 2019
Wipfli LLP Organization, Milwaukee, WI Consulting firm Operational/Managerial Control Feb 1, 2025
NSH Rehab LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jun 13, 2025
Continuum Therapy Partners LLC Organization, Charlotte, NC Consulting firm Operational/Managerial Control Mar 1, 2025
Adp of the SNF Apr 14, 2025
Viana Johnson Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Colleen Patzer Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
NSHC Wisconsin LLC Organization, Milwaukee, WI LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2016
Adp of the SNF May 14, 2025
Cibc Bank USA Organization, Chicago, IL Corporation, Owned by another organization or individual 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
GPH Superior LLC Organization, Frisco, TX LLC Adp of the SNF Dec 1, 2016

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 133

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

View all 133

Practitioners & affiliated clinicians

Practitioners 9

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

Affiliated clinicians 2

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": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1669914537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "SUITE 260",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-962-5250",
            "fax_number": "414-962-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N 37TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805404",
            "telephone_number": "715-392-5144",
            "fax_number": "715-392-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH SUPERIOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NSHG WISCONSIN LLC",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "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": "Twin Ports Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Superior, WI

Sources for this page

Verify at the official NPI Registry.