Active NPI
NSH Cedarburg LLC
- Skilled Nursing Facility
- Cedarburg, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 27, 1995
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- North Shore Healthcare
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Mills | 5% Or Greater Indirect Ownership Interest | Jun 29, 2017 | 20% |
| Jeffrey C Hoehn | 5% Or Greater Indirect Ownership Interest | Jun 29, 2017 | 40% |
| W-2 Managing Employee | Oct 1, 2017 | ||
| North Shore Healthcare LLC | Operational/Managerial Control | Oct 1, 2017 | 50% |
| Troy T Baumann | 5% Or Greater Indirect Ownership Interest | Jun 29, 2017 | 40% |
| NSHF Operations 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.
-
- Skilled Nursing Facility
- Altoona, WI
- NPI 1760900559
North Shore Healthcare LLC, NSHF Operations LLC
-
- Skilled Nursing Facility
- Cornell, WI
- NPI 1417475245
North Shore Healthcare LLC, NSHF Operations LLC
-
- Skilled Nursing Facility
- Delavan, WI
- NPI 1538687330
North Shore Healthcare LLC, NSHF Operations LLC
-
- Skilled Nursing Facility
- Sturgeon Bay, WI
- NPI 1568914729
North Shore Healthcare LLC
-
- Skilled Nursing Facility
- Hammond, WI
- NPI 1194243618
North Shore Healthcare LLC, NSHF Operations LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.