Organization Active NPI

NSH Cedarburg LLC

  • Skilled Nursing Facility
  • Cedarburg, WI
National Provider Identifier
1891213625
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 CEDARBURG LLC
Practice address
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone
(262) 376-7676
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

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031000774 WI Part A Provider - Skilled Nursing Facility 1951677343 Practice locations: Cedarburg, WI

Skilled nursing facility certification: CCN 525578

Legal name
NSH CEDARBURG LLC
Doing business as
CEDARBURG HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 27, 1995
Last certification
Jan 23, 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 CA
Enrollment address
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Nursing home name
CEDARBURG HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cedarburg Health ServicesCCN 525578
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5045.1 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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 InterestMember Jun 29, 2017 20%
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership InterestManaging Member Jun 29, 2017 40%
W-2 Managing Employee Oct 1, 2017
North Shore Healthcare LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Oct 1, 2017 50%
Troy T Baumann Individual 5% Or Greater Indirect Ownership InterestManaging Member Jun 29, 2017 40%
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": "1891213625",
    "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": "N27W5707 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122852",
            "telephone_number": "262-376-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CEDARBURG 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": []
}

Other providers in Cedarburg, WI

Sources for this page

Verify at the official NPI Registry.