Active NPI
NSH Plymouth LLC
Doing business as Plymouth Health Services
- Skilled Nursing Facility
- Plymouth, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NSH PLYMOUTH LLC
- Doing business as
- Plymouth Health Services
- Practice address
- 916 E Clifford St
Plymouth, WI 53073-2468 - Phone
- (920) 893-4777
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
916 E Clifford St
Plymouth, WI 53073-2468
Mailing address
5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250
Other names 1
- Plymouth Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191220001229 | WI | Part A Provider - Skilled Nursing Facility | 9739513912 | Practice locations: Plymouth, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831732775. Details of each certification follow.
Skilled nursing facility certification: CCN 525685
- Legal name
- NSH PLYMOUTH LLC
- Doing business as
- PLYMOUTH HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 2006
- Last certification
- Jun 26, 2024
- Beds
- 50
- Ownership / control type
- Corporation
- Multi-facility organization
- North Shore Health Services
- Organization structure
- LLC
- Incorporated
- Sep 25, 2019 in WI
- Enrollment address
- 916 E Clifford St
Plymouth, WI 53073-2468 - Nursing home name
- PLYMOUTH HEALTH SERVICES
- Affiliated entity
- NORTH SHORE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Plymouth Health Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 2006
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- North Shore Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1031655 | Plymouth Health Services | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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 9, 2025 | ||
| Dawn Marie Quednow | Operational/Managerial Control | Aug 11, 2025 | |
| Adp of the SNF | Aug 11, 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 9, 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 | 36% | |
| 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 9, 2025 | ||
| Keshni Ramnanan | Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| NSH Rehab LLC | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jun 9, 2025 | ||
| NSH 916 East Clifford Street LLC | Adp of the SNF | Jun 9, 2025 | |
| Continuum Therapy Partners LLC | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jun 9, 2025 | ||
| Colleen Patzer | Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| 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 | ||
| Lane Morrell Bowen | 5% Or Greater Indirect Ownership Interest | Dec 1, 2019 | 10% |
| Darren Gee | Operational/Managerial Control | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1952541849
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 134
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Woodside Lutheran Home
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Cliftonlarsonallen LLP, Wipfli LLP
-
dba Onalaska Care Center
- Skilled Nursing Facility
- Onalaska, WI
- NPI 1033102983
Wipfli LLP
-
dba Bethany St. Joseph Care Center
- Skilled Nursing Facility
- La Crosse, WI
- NPI 1356334205
Wipfli LLP
-
dba Rocky Knoll Health Care Center
- Skilled Nursing Facility
- Plymouth, WI
- NPI 1003988049
Wipfli LLP
-
dba Four Winds Manor and Lodge, Inc.
- Skilled Nursing Facility
- Verona, WI
- NPI 1902895592
Wipfli LLP
-
- Community Based Hospice Care Agency
- Glendale, WI
- NPI 1205433778
Arrowhead 123 LLC
-
- Skilled Nursing Facility
- Altoona, WI
- NPI 1760900559
Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, North Shore Healthcare LLC, NSH Rehab LLC, Wipfli LLP
-
dba Ashland Health Services
- Skilled Nursing Facility
- Ashland, WI
- NPI 1891268454
North Shore Healthcare LLC
-
dba Colonial Health Services
- Skilled Nursing Facility
- Colby, WI
- NPI 1568272763
Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, Wipfli LLP
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1831732775",
"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": "916 E CLIFFORD ST",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732468",
"telephone_number": "920-893-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSH PLYMOUTH 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": "Plymouth Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, WI
- Carrie Nickel
- Dawn Niedfeldt, LMT
- Julia K Niver, MS, CADC III
- Northern Wisconsin Geriatric Psychological Services, SC
- Northland Hearing Centers, Inc. (Pickart Hearing Services, LLC.)
- NSH Plymouth-Southern LLC (Southern Horizon Assisted Living)
- Julie O'Leary, O.D.
- Anna Ogi, NP
- Emma Jo Olig, PHARMD
- Dean M Olson, MD
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.