NPIMap

Organization Active NPI

NSH Port Washington LLC

  • Skilled Nursing Facility
  • Port Washington, WI
National Provider Identifier
1891213617
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH PORT WASHINGTON LLC
Practice address
1119 N Wisconsin St
Port Washington, WI 53074-1209
Phone
(262) 284-5892
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1119 N Wisconsin St
Port Washington, WI 53074-1209

Mailing address

5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470
Phone (414) 962-5250

Other names 1

  • Heritage 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
O20171026000770 WI Part A Provider - Skilled Nursing Facility 8123394707 Practice locations: Port Washington, WI

Skilled nursing facility certification: CCN 525586

Legal name
NSH PORT WASHINGTON LLC
Doing business as
HERITAGE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1996
Last certification
Mar 12, 2025
Beds
74 (50 certified)
Ownership / control type
Limited Liability 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
1119 N Wisconsin St
Port Washington, WI 53074-1209
Nursing home name
HERITAGE HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Health ServicesCCN 525586
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5029.5 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain
Penalties (3 years)
1Fines totaling $17,170

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

All disclosed owners & managing parties 5

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 Interest Jun 29, 2017 20%
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 40%
Corporate OfficerManager Jun 29, 2017 40%
Corporate DirectorCo-Manager of NSH Port Washingto 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 Interest Jun 29, 2017 40%
Corporate DirectorCo-Manager of NSH Washington LLC Jun 29, 2017 100%
W-2 Managing Employee Jun 29, 2017
NSHF Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2017 100%

Facilities with the same owner 54

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

View all 54

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1891213617",
    "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": "1119 N WISCONSIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741209",
            "telephone_number": "262-284-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH PORT WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "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": [
        {
            "organization_name": "Heritage Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.